DR. THEODORA K KANJAMA (NPI# 1164650248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164650248 |
| Entity Type | Individual |
| Full Name | DR. THEODORA K KANJAMA |
| Credential | MD |
| Practice Address |
2180 W State Road 434 Suite 2110 Longwood FL 32779-5041 |
| Practice Telephone | 4076222222 |
| Practice Fax Number | 4076475431 |
| Mailing Telephone | 4076222222 |
| Mailing Fax Number | 4076475431 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036140982 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | ME112240 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036140982 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2180 W STATE ROAD 434 SUITE 2110 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336107622 | Sangeetha Polasa | Family Medicine | 2180 W State Road 434, Suite 2110, Longwood, FL 32779-5041 | 2006-05-03 |
| 1760871610 | Shc Home Health Services of Florida, LLC | Occupational Therapist | 2180 W State Road 434, Suite 6140, Longwood, FL 32779-5041 | 2015-01-15 |
| 1548598055 | Zunaira Islam | Internal Medicine | 2180 W State Road 434, Suite #2110, Longwood, FL 32779-5041 | 2009-11-20 |
| 1750512828 | Rajesh Chawla | Internal Medicine | 2180 W State Road 434, Suite 2110, Longwood, FL 32779-5041 | 2009-08-06 |
| 1558591925 | Jose Roberto Fernandez Duarte | Internal Medicine | 2180 W State Road 434, Suite 2110, Longwood, FL 32779-5041 | 2009-07-20 |
| 1497916183 | Kalyan K Bachu | Internal Medicine | 2180 W State Road 434, Suite 2110, Longwood, FL 32779-5041 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| 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 |
|---|---|---|---|---|
| 1285232108 | Neighbormd of Longwood LLC | Internal Medicine | 280 Wekiva Springs Rd Ste 1000, Longwood, FL 32779-6098 | 2020-10-13 |
| 1336302421 | Jose Felix Bichara Sudah | Internal Medicine | 2180 W S.r. 434 Suite 2110, Central Florida Inpatient Medicine, Longwood, FL 32779 | 2008-07-08 |
| 1457572547 | Sushma Koneru | Internal Medicine | 521 W State Road 434 Ste 307&308, Longwood, FL 32750-4984 | 2007-05-02 |
| 1730276783 | Samuel Jean | Internal Medicine | 365 Wekiva Springs Rd, Suite 231, Longwood, FL 32779-3684 | 2006-10-09 |
| 1134227028 | Debra A Dube and Associates, Pa | Internal Medicine | 1001 W Warren Ave, Ste 1001, Longwood, FL 32750-4003 | 2006-09-21 |
| 1770697930 | Debra Ann Dube | Internal Medicine | 901 W Warren Ave, Ste 1001, Longwood, FL 32750-4003 | 2006-08-17 |
| 1578579272 | Shahid Sharif | Internal Medicine | 1906 Wingfield Dr, Longwood, FL 32779-7007 | 2006-08-01 |
| 1760498844 | Robert Difronzo | Internal Medicine | 515 W State Road 434 Ste 110, Longwood, FL 32750-5161 | 2006-07-31 |
| 1922028208 | Greater Orlando Hospitalists | Internal Medicine | 740 Florida Central Pkwy, Longwood, FL 32750-7651 | 2006-07-20 |
| 1891738407 | Elizabeth P Heil | Internal Medicine | 521 W State Road 434, Suite 302, Longwood, FL 32750-4984 | 2006-06-13 |
| Find all providers in LONGWOOD | ||||
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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.