MITHULA RAO GOPALAM (NPI# 1093931974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093931974 |
| Entity Type | Individual |
| Full Name | MITHULA RAO GOPALAM |
| Practice Address |
4945 Williams Dr Georgetown TX 78633-2008 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 5128190500 |
| Practice Fax Number | 5128190520 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | N3685 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4945 WILLIAMS DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352680 | John E Carlson | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2005-11-08 |
| 1245752369 | Wendy Tsao | Social Worker | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2017-07-11 |
| 1407388531 | Hope Fuller | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2017-03-29 |
| 1821454745 | Jennifer Marie Medina | Social Worker | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2016-01-07 |
| 1356740856 | Ashton Schutza | Physician Assistant | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2014-08-20 |
| 1386072494 | Parisa Amirabadi | Physician Assistant | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2013-10-29 |
| 1225471188 | Zayd Luay Abdullah Al-nouri | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2013-04-10 |
| 1609132711 | Nupur Jhawar | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2012-04-03 |
| 1255629960 | Joseph Cessac | Optometrist | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2011-07-14 |
| 1124319819 | Sadia Rashid | Internal Medicine | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2011-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098937 | Medsur One Telemedicine LLC | Nurse Practitioner | 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 | 2020-03-18 |
| 1467946384 | Majestic Healthcare, Pllc | Nurse Practitioner | 110 Eisenhower Ct, Georgetown, TX 78633 | 2018-06-15 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1104834258 | Mobile Cr Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4749 Williams Dr, Georgetown, TX 78633 | 2006-08-04 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| Find all providers in zip 78633 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1184923658 | Hugh M Tadlock Md Pa | Internal Medicine | 316 Starview Dr, Georgetown, TX 78628-3906 | 2011-03-22 |
| 1750577862 | Kumar Sathianathan, Mdpa | Internal Medicine | 3613 Williams Dr Ste 404, Georgetown, TX 78628-1370 | 2007-09-21 |
| 1265640411 | Andrew Peter Balbaugh | Internal Medicine | 196 Bevins Ln, Suite F, Georgetown, KY 40324-8534 | 2007-05-20 |
| 1891916243 | Karen R Hill | Internal Medicine | 3201 S. Austin Ave., Suite 205, Georgetown, TX 78626 | 2007-05-02 |
| 1124248075 | John Edward Durst | Internal Medicine | 20621 Savannah Rd, Georgetown, DE 19947-2260 | 2007-04-25 |
| 1568589000 | Lawrence Stephen Mcdonald | Internal Medicine | 23207 Dupont Blvd, Sci, Georgetown, DE 19947-2664 | 2007-03-22 |
| 1467587592 | Romina M. Thomas | Internal Medicine | 10 N Front St, Georgetown, DE 19947-1414 | 2007-02-22 |
| 1235292343 | Joel Anthony Knight | Internal Medicine | 196 Bevins Ln F, Georgetown, KY 40324-8534 | 2006-12-19 |
| 1528092467 | Darush Rahmani, D.o., P.a. | Internal Medicine | 2110 Scenic Dr, Georgetown, TX 78626-7728 | 2006-07-10 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.