DR. SURENDRA BABU GUDAPATI (NPI# 1245262716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245262716 |
| Entity Type | Individual |
| Full Name | DR. SURENDRA BABU GUDAPATI |
| Credential | M.D. |
| Practice Address |
2490 Hospital Dr Suite 104 Mountain View CA 94040-4122 |
| Mailing Address |
200 Jose Figueres Ave Suite 255 San Jose CA 95116-1500 |
| Practice Telephone | 6509624410 |
| Practice Fax Number | 6509624411 |
| Mailing Telephone | 4082237474 |
| Mailing Fax Number | 4082239339 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A76026 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD PROVIDER ID | 00A760260 | 01 |
| Street Address |
2490 HOSPITAL DR SUITE 104 |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788693 | Frank C Galli | Specialist | 2490 Hospital Dr, Suite 311, Mountain View, CA 94040 | 2005-05-24 |
| 1790222669 | Jazziel Ross Marasigan | Nurse Practitioner | 2490 Hospital Dr, Suite 309, Mountain View, CA 94040-4122 | 2017-01-30 |
| 1518327931 | Patrick Joseph Maguire | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2490 Hospital Dr, Suite 310, Mountain View, CA 94040-4122 | 2016-02-26 |
| 1053790691 | Samuel N Marcus Md Inc. | Internal Medicine | 2490 Hospital Dr, Suite 211, Mountain View, CA 94040-4122 | 2015-05-28 |
| 1093192312 | Kate Haisch | Dietitian, Registered | 2490 Hospital Dr, Mountain View, CA 94040-4122 | 2015-05-06 |
| 1710389887 | Intuitive Neurology Inc | Psychiatry & Neurology | 2490 Hospital Dr, Ste. #212, Mountain View, CA 94040-4122 | 2014-09-20 |
| 1689012718 | Maryam Naseri Delucia | Physician Assistant | 2490 Hospital Dr, Mountain View, CA 94040-4122 | 2013-06-11 |
| 1891138475 | Peninsula Cardiovascular | Internal Medicine | 2490 Hospital Dr, Suite 212, Mountain View, CA 94040-4122 | 2013-04-12 |
| 1437497096 | Advanced Gi Endoscopy Inc | Internal Medicine | 2490 Hospital Dr, 211, Mountain View, CA 94040-4122 | 2013-01-16 |
| 1841551173 | Akemi Asao | Acupuncturist | 2490 Hospital Dr, Suite 103-1, Mountain View, CA 94040-4122 | 2012-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1245245877 | Cvi Medical Group, Inc. | Internal Medicine | 2660 Grant Rd, Mountain View, CA 94040-4315 | 2006-07-30 |
| 1417962994 | Edward Bough | Internal Medicine | 2490 Hospital Dr, Ste311, Mountain View, CA 94040-4122 | 2006-07-30 |
| 1891138475 | Peninsula Cardiovascular | Internal Medicine | 2490 Hospital Dr, Suite 212, Mountain View, CA 94040-4122 | 2013-04-12 |
| 1982966214 | Cindy Wang | Internal Medicine | 2490 Hospital Dr Ste 311, Mountain View, CA 94040-4126 | 2012-06-12 |
| 1578889960 | Rajesh Jaganath | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2010-04-12 |
| 1437329562 | Deepu Nair | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2008-03-05 |
| 1992891493 | Joseph Chungsun Chao | Internal Medicine | 525 South Drive, Suite 105, Mountain View, CA 94040-4211 | 2006-10-04 |
| 1508872086 | Ibrahim Saah | Internal Medicine | 2660 Grant Rd, Mountain View, CA 94040-4315 | 2006-08-01 |
| 1558378711 | Martin Klughaupt | Internal Medicine | 2660 Grant Rd, Mountain View, CA 94040-4315 | 2006-08-01 |
| 1912912569 | Clayton Bavor | Internal Medicine | 2490 Hospital Dr, Suite 311, Mountain View, CA 94040 | 2006-07-30 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
Please comment or provide details below to improve the information on DR. SURENDRA BABU GUDAPATI.
| 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.