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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | E-7207 | AR | Allopathic & Osteopathic Physicians |
Street Address |
701 SW REGIONAL AIRPORT BLVD SUITE 1 |
City | BENTONVILLE |
State | AR |
Zip Code | 72716-0001 |
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 |
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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
City | BENTONVILLE |
Zip Code | 72716 |
Please comment or provide details below to improve the information on RAJA SEKHAR REDDY DONDETI.
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.