DR. PADMAVATHI KUDARAVALLI (NPI# 1144221953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144221953 |
| Entity Type | Individual |
| Full Name | DR. PADMAVATHI KUDARAVALLI |
| Credential | MD |
| Practice Address |
2333 Mowry Ave Ste 300 Fremont CA 94538-1626 |
| Mailing Address |
2333 Mowry Avenue Suite 300 Fremont CA 94538-1626 |
| Practice Telephone | 5102844100 |
| Practice Fax Number | 5107949783 |
| Mailing Telephone | 5107960222 |
| Mailing Fax Number | 5107967760 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A67964 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A679640 | 05 |
| Street Address |
2333 MOWRY AVE STE 300 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659746378 | Priscilla Ching | Nurse Practitioner | 2333 Mowry Ave, Fremont, CA 94538-1625 | 2015-12-07 |
| 1659623676 | California Cardiovascular Consultants Medical Associates, Inc. | Obstetrics & Gynecology | 2333 Mowry Ave, Suite 300, Fremont, CA 94538-1626 | 2012-10-15 |
| 1225386642 | California Cardiovascular | Obstetrics & Gynecology | 2333 Mowry Ave, Suite 300, Fremont, CA 94538-1625 | 2012-08-15 |
| 1972732600 | Christine Nguyen Elias | Internal Medicine | 2333 Mowry Ave, Ste 300, Fremont, CA 94538-1626 | 2009-07-02 |
| 1295952034 | Georgann Gervasi-lyttkens | Physician Assistant | 2333 Mowry Ave, Suite #220, Fremont, CA 94538-1625 | 2007-04-20 |
| 1760549109 | Sylvia Hanh Hoang | Family Medicine | 2333 Mowry Ave, Suite 300, Fremont, CA 94538 | 2007-01-03 |
| 1316024508 | Shakir Hyder | Internal Medicine | 2333 Mowry Ave, Suite 300, Fremont, CA 94538 | 2006-11-01 |
| 1407945777 | Seema Rikhy | Internal Medicine | 2333 Mowry Ave, Suite 300, Fremont, CA 94538 | 2006-10-12 |
| 1053401125 | Michelle Htun | Internal Medicine | 2333 Mowry Ave, Suite # 300, Fremont, CA 94538 | 2006-10-12 |
| 1114016292 | Frank Peter Hochman | Family Medicine | 2333 Mowry Ave, Suite 300, Fremont, CA 94538 | 2006-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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 |
|---|---|---|---|---|
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1811243892 | Pushpa Dewanimal Jagtiani | Internal Medicine | 702 Patriot Place, Fremont, CA 94539 | 2012-07-27 |
| 1245563030 | Hemant D Patel Inc | Internal Medicine | 2287 Mowry Ave Ste I, Fremont, CA 94538-1622 | 2009-09-10 |
| 1154554228 | Hanh Thi Tran | Internal Medicine | 2299 Mowry Ave Ste 3c, Fremont, CA 94538-1621 | 2009-08-24 |
| 1801045679 | Sumbella Farhan Baqai | Internal Medicine | 34326 Thornhill Ct, Fremont, CA 94555-2364 | 2008-09-16 |
| 1750540621 | Adil N Irani | Internal Medicine | 1900 Mowry Ave., Suite 309, Fremont, CA 94538-1722 | 2008-06-05 |
| 1508054479 | Ana M. Elisei | Internal Medicine | 1423 Onondaga Pl, Fremont, CA 94539-6711 | 2007-10-04 |
| 1588855613 | Martin F Sears Md | Internal Medicine | 1935 E Military Ave, Suite 2, Fremont, NE 68025-5489 | 2007-08-05 |
| 1619179504 | Jevon Tang | Internal Medicine | 2557 Mowry Ave Ste 12, Fremont, CA 94538-1614 | 2007-06-03 |
| 1194937649 | Gloria Gaeta Carreon | Internal Medicine | 1900 Mowry Ave Ste 202, Fremont, CA 94538-1722 | 2007-05-04 |
| Find all providers in FREMONT | ||||
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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.