DR. JEEVAN MATHEW PUTHIAMADATHIL (NPI# 1235583311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235583311 |
| Entity Type | Individual |
| Full Name | DR. JEEVAN MATHEW PUTHIAMADATHIL |
| Credential | M.D. |
| Practice Address |
10 Center Dr Bldg 10, Rm B2l312 Bethesda MD 20892 |
| Mailing Address |
10 Center Dr Bldg 10, Rm B2l312 Bethesda MD 20892-0001 |
| Practice Telephone | 3014964916 |
| Mailing Telephone | 3014964916 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1221 S Eads St Apt 1016, Arlington, VA 222024722 | 2013415026 |
| Street Address |
10 CENTER DR BLDG 10, RM B2L312 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790218451 | Kevin Thomas Breen | Internal Medicine | 10 Center Dr Bldg 10, Rm B2l312, Bethesda, MD 20892-5040 | 2017-04-09 |
| 1760830202 | Sarah Lynn Parker Atkins | Internal Medicine | 10 Center Dr Bldg 10, Rm B2l312, Bethesda, MD 20892-0001 | 2016-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904282 | Siobhan Ivy Telfer | Urology | Uob/nci, National Institutes of Health, Building 10, Room 1-5940w, Bethesda, MD 20892 | 2018-06-04 |
| 1871096081 | Adilah M. Meredith-kirton | Registered Nurse | National Institute of Mental Health-division Of, Intramural Research Programs Building 35a Suite Ge-400, Bethesda, MD 20892 | 2018-03-14 |
| 1285158840 | Chelsi Lashea Flippo | Pediatrics | 10 Center Drive Msc 1103 Bldg 10crc Rm 2 East -5130, Bethesda, MD 20892 | 2017-07-26 |
| 1093120156 | Anne Martini | Obstetrics & Gynecology | 10 Center Drive Bldg 10 Room 8n248b Msc 1840, Bethesda, MD 20892 | 2014-06-27 |
| 1962815795 | Changrui Xiao | Internal Medicine | 10 Center Drive Building 10 Crc Room 3-2551 Msc 1205, Bethesda, MD 20892 | 2014-06-10 |
| 1386055085 | Rebecca Persky | Pediatrics | 10 Center Drive Building 10, Room 1nw-2742, Bethesda, MD 20892 | 2014-05-15 |
| 1962829168 | Anna Zenno | Internal Medicine | 10 Center Drive Msc 1103, Bldg 10crc Rm 2 East-5130, Bethesda, MD 20892 | 2014-03-25 |
| 1043550387 | Christine Siegel | Nurse Practitioner | 9030 Old Georgetown Road, Building 82, Room 205, Bethesda, MD 20892 | 2013-02-24 |
| 1124374517 | Arunima Ghosh | Student in an Organized Health Care Education/Training Program | Nih 10, Center Drive, Bldg 10 2n208 Laboratory of Pathology, Bethesda, MD 20892 | 2012-08-03 |
| 1346595550 | Quinn Kathleen Cassidy | Social Worker | National Institutes of Health Bldg 10 Crc Rm 2-3581, 10 Center Dr Msc 1160, Bethesda, MD 20892 | 2012-07-13 |
| Find all providers in zip 20892 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473273 | Nadia Nasir | Student in an Organized Health Care Education/Training Program | 4710 Bethesda Ave Apt 1512, Bethesda, MD 20814-5226 | 2020-09-28 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1184234478 | Xueting Jin | Student in an Organized Health Care Education/Training Program | Bg 10 Rm 3n248 Msc 1500 10 Center Dr, Bethesda, MD 20892-0001 | 2020-08-03 |
| 1538783147 | Michael D Sisler | Student in an Organized Health Care Education/Training Program | Acgme Program 1801021144 8901 Wisconsin Ave, Bethesda, MD 20889-4759 | 2020-05-31 |
| 1477176741 | Scott Hoener | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue Dept of Behavioral Health, Bethesda, MD 20889-0001 | 2020-05-21 |
| 1477175198 | Marissa Anne Manning | Student in an Organized Health Care Education/Training Program | 4494 Palmer Rd, Bethesda, MD 20889-0001 | 2020-05-15 |
| 1134741457 | Kathleen Elizabeth Bathon | Student in an Organized Health Care Education/Training Program | 4954 North Palmer Road, Internal Medicine Department, American Building 19, Bethesda, MD 20889-5600 | 2020-05-08 |
| 1477172195 | Sidney Elliot Zven | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Iave, Bethesda, MD 20889-0001 | 2020-04-13 |
| 1497374441 | Rebecca Lee | Student in an Organized Health Care Education/Training Program | 4494 North Palmer Road Anesthesiology Department, Bethesda, MD 20889-0001 | 2020-04-09 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| Find all providers in BETHESDA | ||||
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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.