DR. SUDHA PIDIKITI


Address: 700 Ne 87th Ave, Vancouver, WA 98664-1913
Phone: 3603971500

DR. SUDHA PIDIKITI (NPI# 1275623563) 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) 1275623563
Entity Type Individual
Full Name DR. SUDHA PIDIKITI
Credential M.D.,
Practice Address 700 Ne 87th Ave
Vancouver
WA 98664-1913
Practice Telephone 3603971500
Practice Fax Number 3602533515
Mailing Telephone 3603971500
Mailing Fax Number 3602533515
Enumeration Date 2006-10-15
Last Update Date 2008-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
MD60044234 WA Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
MD25928 OR Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
49177-020 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 700 NE 87TH AVE
City VANCOUVER
State WA
Zip Code 98664-1913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447255112 Lewis Mark Steinberg Internal Medicine 700 Ne 87th Ave, Vancouver, WA 98664-1913 2005-06-17
1598398141 Blakely Garrity Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-4896 2020-02-21
1851958797 Rosa Pham Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-1913 2019-05-28
1902368319 Alexandria Eunsong Yeo Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-4896 2019-04-03
1568961100 Jill Renee Bradley Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-4896 2018-02-09
1245757939 Matthew Elamparo Pharmacist 700 Ne 87th Ave, Vancouver, WA 98664-1913 2017-08-24
1174051023 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 2017-05-23
1952833741 Jeanne Lothrop Gurney Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-1913 2017-03-30
1730639626 Cameron M Schmidt Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-1913 2016-10-04
1164971610 David C Turro Jr. Physician Assistant 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 2016-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249938 Angelica Maria Parle-fresquez Speech-Language Pathologist Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 2020-09-10
1467923441 Elizabeth Steen Counselor 230 E. State St., Mossyrock, WA 98664 2018-12-17
1497241657 Chelsey Nicole Parker Peer Specialist 9815 Ne 3rd St, Vancouver, WA 98664 2018-07-10
1881145431 Brent Homan Occupational Therapist 807 Se Morgan Rd., Vancouver, WA 98664 2016-10-19
1114474277 Rebecca Marie Stefan Nurse's Aide 10025 Ne 19th St, Vancouver, WA 98664 2016-09-07
1528454105 Alicia Ford Dietitian, Registered 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 2015-04-10
1033504261 Reid Roberts Bennett Anesthesiology 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 2015-04-03
1235550856 Nikolay Nikolaevich Chernukhin Jr. Chiropractor 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 2013-12-27
1013278712 Serena Harker Physical Therapy Assistant 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 2012-05-30
1295091080 Rebeca C Johnson Massage Therapist 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 2012-04-05
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841691250 Nephrology Medical Associates of Ga, LLC Internal Medicine 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6998 2014-09-05
1316171242 Jennifer Kim Schneider Internal Medicine 700 Ne 87th Ave, Vancouver, WA 98664-1913 2009-05-06
1073779831 Binaya Khanal Internal Medicine 700 Ne 87th Ave Ste 270, Vancouver, WA 98664 2008-07-31
1619132495 Sandeep Vetteth Internal Medicine 505 Ne 87th Ave, Suite 460, Vancouver, WA 98664-1989 2008-07-22
1659314557 John Rastall Internal Medicine 700 Ne 87th Ave, Vancouver, WA 98664-1913 2006-06-14
1134160682 Larry Lee Internal Medicine 700 Ne 87th Ave, Ste270, Vancouver, WA 98664-1913 2006-06-08
1699713073 Charles Plamp Internal Medicine 700 Ne 87th Ave, Vancouver, WA 98664-1913 2006-06-04
1609813088 Haritha Ravi Internal Medicine 700 Ne 87th Ave, Vancouver, WA 98664-1913 2006-06-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790326502 Blazing Grace Medical, LLC Internal Medicine 953 Stevens Dr Ste C, Richland, WA 99352-3533 2019-10-02
1619460268 Pacific Kidney & Hypertension, LLC Internal Medicine 2707 Colby Ave, Everett, WA 98201-3528 2018-06-08
1992258289 Roderick Marshall Macdonald Internal Medicine University of Washington Mc 1959 Ne Pacific St, Seattle, WA 98195-0001 2016-08-03
1124458310 Cascade Kidney Specialists Internal Medicine Cascade Kidney Specialists, 1370 116th Ave Ne Suite 209, Bellevue, WA 98004-3825 2013-11-25
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
1164775508 Hoang H Dang, Md, Ps Internal Medicine 9804 Ne 15th St, Bellevue, WA 98004-3431 2012-10-23
1942561824 Tsering Dhondup Internal Medicine 3525 Ensign Rd Ne Ste K, Olympia, WA 98506-5065 2012-06-06
1518248921 William Griffith Couser Internal Medicine 16050 169th Ave Ne, Woodinville, WA 98072-8949 2011-08-30
1346535556 David Alan Goodkin Internal Medicine 3807 134th Ave Ne, Bellevue, WA 98005-1437 2011-06-15
1174838676 Shanza Mujeeb Internal Medicine 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 2010-08-10
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Competitor

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City VANCOUVER
Zip Code 98664

Improve Information

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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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