SUDHEER TANGELLA


Address: 878 Lakeland Dr, Jackson, MS 39216-4644
Phone: 6019846800

SUDHEER TANGELLA (NPI# 1124382536) 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) 1124382536
Entity Type Individual
Full Name SUDHEER TANGELLA
Credential MD
Practice Address 878 Lakeland Dr
Jackson
MS 39216-4644
Mailing Address Po Box 4999
Jackson
MS 39296-4999
Practice Telephone 6019846800
Practice Fax Number 6019846811
Mailing Telephone 6019845426
Mailing Fax Number 6019846889
Enumeration Date 2012-06-29
Last Update Date 2012-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 836-L MS Allopathic & Osteopathic Physicians

Office Location

Street Address 878 LAKELAND DR
City JACKSON
State MS
Zip Code 39216-4644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841284478 Janet L. Ricks Family Medicine 878 Lakeland Dr, Jackson, MS 39216-4644 2005-09-09
1215593082 Khusbuben Shantilal Patel Student in an Organized Health Care Education/Training Program 878 Lakeland Dr, Jackson, MS 39216-4644 2019-05-16
1073179842 Oluwasegun Omoyemi Lijofi Student in an Organized Health Care Education/Training Program 878 Lakeland Dr, Jackson, MS 39216-4644 2019-05-16
1972168870 Kaneisha Monique Thompson Student in an Organized Health Care Education/Training Program 878 Lakeland Dr, Jackson, MS 39216-4644 2019-05-06
1700441920 Arame Motazedi Student in an Organized Health Care Education/Training Program 878 Lakeland Dr, Jackson, MS 39216-4644 2019-05-02
1487218806 Karishmaben Sureshkumar Amin Student in an Organized Health Care Education/Training Program 878 Lakeland Dr, Jackson, MS 39216-4644 2019-05-01
1780174284 Maria Syed Abid Hussain Student in an Organized Health Care Education/Training Program 878 Lakeland Dr, Jackson, MS 39216 2018-05-10
1881958288 Shannon J. Myers Family Medicine 878 Lakeland Dr, Jackson, MS 39216-4644 2012-06-29
1194089508 Ajay Vongala Family Medicine 878 Lakeland Dr, Jackson, MS 39216-4644 2012-06-29
1629365358 Joanna Diane Bayles Family Medicine 878 Lakeland Dr, Jackson, MS 39216-4644 2011-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

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
1235754995 Oak Street Health Physicians Group of Mississippi, LLC Family Medicine 911 Ellis Ave, Jackson, MS 39209 2020-06-09
1003470758 Central Mississippi Health Services, Inc Family Medicine 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 2019-04-29
1922515493 Meaghan Schenk Johnson Family Medicine 2969 Curran Dr N # 200, Jackson, MS 39216-4121 2018-01-05
1740795731 Emily Colleen Dunaway Family Medicine 1227 N State St # 101, Jackson, MS 39202-2002 2017-12-12
1679086367 Hope Np House Call Practice Family Medicine 98 Grandview Ave, Jackson, OH 45640-9090 2017-11-16
1427585488 Daniel Matthew Bender Family Medicine 455 W Broadway Ave, Jackson, WY 83001-8639 2017-05-21
1891235289 Logan Hardin Family Medicine 1270 Union University Dr Ste A, Jackson, TN 38305-3856 2017-03-03
1255782843 Seth Tyler Koehler Family Medicine 2600 E Main St, Jackson, MO 63755-2473 2016-06-25
1720495245 Gopi Patel Family Medicine 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 2014-07-16
1154735165 Lk Physicians Services Pllc Family Medicine 36 Lake Pointe Dr, Jackson, TN 38305-8113 2014-06-17
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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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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