GOPAL KODUMUDI (NPI# 1285195982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285195982 |
Entity Type | Individual |
Full Name | GOPAL KODUMUDI |
Practice Address |
9741 Mckenna Dr Elk Grove CA 95757-4027 |
Practice Telephone | 2036859588 |
Mailing Telephone | 2036859588 |
Enumeration Date | 2019-03-26 |
Last Update Date | 2019-03-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
9741 MCKENNA DR |
City | ELK GROVE |
State | CA |
Zip Code | 95757-4027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
Find all providers in zip 95757 |
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 |
---|---|---|---|---|
1700499126 | Sulema Arizbeth Cortes Estrada | Student in an Organized Health Care Education/Training Program | 9227 Wollaston Way, Elk Grove, CA 95624-3568 | 2020-08-25 |
1881217909 | Britney Ann Tennison | Student in an Organized Health Care Education/Training Program | 7712 Splendid Way, Elk Grove, CA 95758-9552 | 2020-05-22 |
1871137976 | Blossom Kim | Student in an Organized Health Care Education/Training Program | 9108 Trumbauer Way, Elk Grove, CA 95758-7434 | 2019-10-31 |
1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
1861990079 | Alanna Crossman | Student in an Organized Health Care Education/Training Program | 8569 Mission Falls Cir, Elk Grove, CA 95624-3920 | 2018-01-23 |
1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
1174903918 | Elise Boykin | Student in an Organized Health Care Education/Training Program | 10362 Aldinger Way, Elk Grove, CA 95757-3508 | 2015-06-07 |
1508256868 | Daniel Aboubechara | Student in an Organized Health Care Education/Training Program | 8695 Bradshaw Rd, Elk Grove, CA 95624-9421 | 2015-01-26 |
1831591296 | Desirae Spignor | Student in an Organized Health Care Education/Training Program | 8515 Elk Grove Florin Rd Apt 327, Elk Grove, CA 95624-9558 | 2014-09-17 |
Find all providers in ELK GROVE |
Please comment or provide details below to improve the information on GOPAL KODUMUDI.
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.