CHIRANJEEVI PRAMODNA SIDDAGUNTA


Address: 500 W River Dr, Davenport, IA 52801
Phone: 5633363000

CHIRANJEEVI PRAMODNA SIDDAGUNTA (NPI# 1114205838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114205838
Entity Type Individual
Full Name CHIRANJEEVI PRAMODNA SIDDAGUNTA
Credential M.D.
Practice Address 500 W River Dr
Davenport
IA 52801
Mailing Address 500 W River Dr
Davenport
IA 52801-1014
Practice Telephone 5633363000
Mailing Telephone 5633363000
Enumeration Date 2011-07-29
Last Update Date 2018-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD-44640 IA Allopathic & Osteopathic Physicians

Office Location

Street Address 500 W RIVER DR
City DAVENPORT
State IA
Zip Code 52801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932193224 Community Health Care, Inc. Clinic/Center 500 W River Dr, Davenport, IA 52801-1014 2005-09-01
1932732203 Audrey Jean Housman Nurse Practitioner 500 W River Dr, Davenport, IA 52801-1014 2020-02-14
1942859012 Amy S Fitzgibbon Nurse Practitioner 500 W River Dr, Davenport, IA 52801-1014 2019-09-10
1730600735 Heather Morden Nurse Practitioner 500 W River Dr, Davenport, IA 52801-1014 2017-06-29
1891215190 Chau Nguyen Internal Medicine 500 W River Dr, Davenport, IA 52801-1014 2017-06-27
1275067696 Olaitan Atinuke Ijitimehin Internal Medicine 500 W River Dr, Davenport, IA 52801-1014 2017-04-12
1972034544 Amee Harms Pharmacist 500 W River Dr, Davenport, IA 52801-1014 2017-03-24
1619416013 Heather Jacobs Nurse Practitioner 500 W River Dr, Davenport, IA 52801-1014 2017-02-17
1124562723 Jessica Filiatreau Counselor 500 W River Dr, Davenport, IA 52801-1014 2016-12-15
1124560206 Vicki Hansen Nurse Practitioner 500 W River Dr, Davenport, IA 52801-1014 2016-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306332820 Aaron Hartzler Registered Nurse 735 Federal Street, Davenport, IA 52801 2018-07-09
1235554916 Gold Coast Chiropractic & Acupuncture Wellness Center, L.L.C. Chiropractor 604 West 5th Street, Davenport, IA 52801 2014-03-04
1316218928 Alcohol & Drug Dependency Services Clinic/Center 320 N. Main St., Davenport, IA 52801 2012-01-13
1336640713 Christopher Zeng-yue Liu Dentist 125 Scott St, Davenport, IA 52801 2018-02-22
1861883670 Reem Oweis Dentist 125 Scott St, Davenport, IA 52801 2015-02-16
1184056186 County of Scott Public Health or Welfare 600 W 4th St, Davenport, IA 52801-1003 2013-08-01
1225295488 Scott County Health Department Public Health or Welfare 600 W 4th St, Davenport, IA 52801-1003 2008-05-16
1598076762 Tonia Rogers Chiropractor 604 W 5th St, Davenport, IA 52801-1005 2010-06-21
1629524699 Scott County Family Young Men's Christian Association Health Educator 606 W 2nd St, Davenport, IA 52801-1009 2016-08-30
1528408796 Anju Chana Internal Medicine 500 West River Drive, Davenport, IA 52801-1014 2013-07-02
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689287831 Cynthia Marie Silva Family Medicine 142 Harrington Ct, Davenport, FL 33837-8986 2020-08-27
1467013565 Vibrant Health, P.C. Family Medicine 1351 W Central Park Ave Ste 1225, Davenport, IA 52804-1889 2019-06-28
1831667062 Jacqueline Bogle Family Medicine 1334 Oakcrest Ct, Davenport, FL 33837-1707 2018-11-06
1427589944 Aubrey Riefe Family Medicine 4317 E 53rd St, Davenport, IA 52807-3860 2017-03-26
1760748644 Marygold Lora Fernandez Family Medicine 2302 North Blvd W Ste D, Davenport, FL 33837-8920 2012-04-05
1184917981 Linda Malizia Jager Family Medicine 1750 E 53rd St, Davenport, IA 52807-2707 2011-05-26
1881908069 Andrew Michael Teffeau Family Medicine 410 Lionel Way Fl 3, Davenport, FL 33837-7809 2010-07-30
1740509280 Jose Ascension Armendariz Family Medicine 4700 E 56th St Ste 300, Davenport, IA 52807-2904 2010-05-24
1336473198 Simran Jit Family Medicine 3411 Spring St, Davenport, IA 52807-2114 2009-09-28
1184870016 Maria Nina Concepcion Md Pa Family Medicine 2302 North Blvd., Suite D, Davenport, FL 33837 2008-08-12
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Competitor

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City DAVENPORT
Zip Code 52801

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Dataset Information

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.

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