RAJA SEKHAR REDDY DONDETI


Address: 701 Sw Regional Airport Blvd, Suite 1, Bentonville, AR 72716-0001
Phone: 4792687640

RAJA SEKHAR REDDY DONDETI (NPI# 1194040865) 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) 1194040865
Entity Type Individual
Full Name RAJA SEKHAR REDDY DONDETI
Other Name RAJ DONDETI
Credential MD
Practice Address 701 Sw Regional Airport Blvd
Suite 1
Bentonville
AR 72716-0001
Practice Telephone 4792687640
Practice Fax Number 4792542951
Mailing Telephone 4792687640
Mailing Fax Number 4792542951
Enumeration Date 2010-04-06
Last Update Date 2013-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine E-7207 AR Allopathic & Osteopathic Physicians

Office Location

Street Address 701 SW REGIONAL AIRPORT BLVD
SUITE 1
City BENTONVILLE
State AR
Zip Code 72716-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447699434 Mercy Health Northwest Arkansas Communities Internal Medicine 701 Sw Regional Airport Blvd, Bentonville, AR 72716-0001 2013-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164471785 Laura Lovrien Pharmacist 508 Sw 8th St, Bentonville, AR 72716 2006-05-09
1376726968 Smith Fs2 Inc Durable Medical Equipment & Medical Supplies 3301 S Walton Blvd, Suite 21, Bentonville, AR 72716-0001 2007-12-06
1720081946 David Neal Kilgo Pharmacist 702 Sw 8th Street, Bentonville, AR 72716-0230 2005-05-23
1457535338 Sams East Inc Eyewear Supplier (Equipment, not the service) 702 Sw 8th Street, Bentonville, AR 72716-0235 2007-12-27
1265616122 Wal Mart Stores, Inc Eyewear Supplier (Equipment, not the service) 702 Sw 8th Street, Bentonville, AR 72716-0235 2007-12-27
1609050590 Wal-mart Stores East, Lp Eyewear Supplier (Equipment, not the service) 702 Sw 8th Street, Bentonville, AR 72716-0235 2007-12-27
1043494933 Wal-mart Stores Texas, Lp Eyewear Supplier (Equipment, not the service) 702 Sw 8th Street, Bentonville, AR 72716-0235 2007-12-27
1598949455 Sams West Inc Eyewear Supplier (Equipment, not the service) 702 Sw 8th Street, Bentonville, AR 72716-0235 2007-12-27
1245770759 Wal-mart Stores East, Lp Technician/Technologist 702 Sw 8th St, Mail Stop 0445, Bentonville, AR 72716-0445 2017-03-02
1154737351 Debbie Mack Pharmacist 702 Sw 8th St, Bentonville, AR 72716-0445 2014-07-08
Find all providers in zip 72716

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
1801439302 Northwest Arkansas Integrated Medical, Inc Family Medicine 1300 Se 14th St Ste 2, Bentonville, AR 72712-6814 2019-10-28
1477940971 Shawn L Brummett Family Medicine 4100 Sw I St Ste 200, Bentonville, AR 72712 2015-04-22
1336569532 Patrick Tyler Greenburg Family Medicine 7001 Sw Regional Airport Blvd Ste 1, Bentonville, AR 72712 2014-04-26
1962766840 Christopher B Carter Family Medicine 2900 Se Moberly Ln, Bentonville, AR 72712-3748 2012-06-26
1376706614 Larry Bryan Mabry Family Medicine 2900 Moberly Lane, Bentonville, AR 72712-3748 2008-07-08
1083768618 Gregory Ryan Spears Family Medicine 601 Sw Regional Airport Blvd, Bentonville, AR 72713-9256 2007-01-22
1245387091 Kimberly Joy Emerson Family Medicine 903 Se 28th St, Suite 1, Bentonville, AR 72712-3880 2007-01-04
1386672392 Scott Randall Musick Family Medicine 1102 Nw Lowe's Ave, Suite 2, Bentonville, AR 72712 2006-06-29
1700844396 James H Arkins Family Medicine 1000 Se 13th Court, Bentonville, AR 72712 2006-05-03
1023076601 Hunter Moore Steadman Jr. Family Medicine 3101 Se 14th Street, Bentonville, AR 72712-4900 2006-05-03
Find all providers in BENTONVILLE

Competitor

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City BENTONVILLE
Zip Code 72716

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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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