DR. VENKATESH R. KANDALLU (NPI# 1265494561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265494561 |
| Entity Type | Individual |
| Full Name | DR. VENKATESH R. KANDALLU |
| Credential | M.D. |
| Practice Address |
205 10th St Ne Auburn WA 98002-4019 |
| Mailing Address |
202 N Division St Ste 201 Auburn WA 98001-4939 |
| Practice Telephone | 2539391230 |
| Mailing Telephone | 2539391230 |
| Mailing Fax Number | 2537351211 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2014-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD00035482 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 0280788 | 01 |
| WA | STATE L&I | 0280798 | 01 |
| WA | 8214868 | 05 | |
| WA | STATE L&I | 0280779 | 01 |
| Street Address |
205 10TH ST NE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721622 | Franciscan Medical Group | Clinic/Center | 205 10th St Ne, Suite 106, Auburn, WA 98002-4045 | 2016-10-14 |
| 1710348511 | Karen Hye | Psychologist | 205 10th St Ne, Suite 200, Auburn, WA 98002-4019 | 2016-03-08 |
| 1104171974 | Kanwardeep Kaur Sidhu | Family Medicine | 205 10th St Ne, Ste 200, Auburn, WA 98002-4019 | 2012-07-18 |
| 1154614402 | Christine Lee Harris-spinks | Family Medicine | 205 10th St Ne, Suite 200, Auburn, WA 98002-4045 | 2011-05-19 |
| 1508038019 | Chanda L Reese | Obstetrics & Gynecology | 205 10th St Ne, Auburn, WA 98002-4019 | 2008-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| 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 |
|---|---|---|---|---|
| 1659476059 | Auburn Cardiology Associates | Internal Medicine | 3262 Fortune Ct, Auburn, CA 95602-7847 | 2006-09-13 |
| 1891809992 | Rama M Godishala Mdpc | Internal Medicine | 281 Grant Avenue, Auburn, NY 13021 | 2006-08-18 |
| 1306882303 | Auburn Cardiovascular, PC | Internal Medicine | 994 Drew Ln, Auburn, AL 36830-4302 | 2006-06-20 |
| 1407828569 | Mary L Borgstadt | Internal Medicine | 735 12th St Se, Auburn, WA 98002-6709 | 2006-02-03 |
| 1710967153 | David N Abisalih | Internal Medicine | 2 Great Falls Plaza, Auburn, ME 04210-5966 | 2006-01-20 |
| 1407831381 | Tennyson G Lee | Internal Medicine | 3200 Bell Rd, Auburn, CA 95603-9244 | 2005-12-13 |
| 1477555316 | Ramamurthy Godishala | Internal Medicine | 281 Grant Ave, Auburn, NY 13021-1421 | 2005-08-11 |
| 1558362343 | Jack Alan Pearson | Internal Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2005-08-03 |
| 1962056408 | Auburn Community Hospital | Internal Medicine | 17 Lansing Street, Auburn, NY 13021 | 2019-08-01 |
| 1780979849 | Franciscan Medical Group | Internal Medicine | 202 N Division St, Ste 201, Auburn, WA 98001-4939 | 2011-06-16 |
| Find all providers in AUBURN | ||||
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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.