DR. AMOGH GAJANKUSH (NPI# 1295084564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295084564 |
| Entity Type | Individual |
| Full Name | DR. AMOGH GAJANKUSH |
| Credential | MD |
| Practice Address |
1104 Monroe St Sw Huntsville AL 35801 |
| Mailing Address |
Po Box 2705 Huntsville AL 35804-2705 |
| Practice Telephone | 2562655864 |
| Practice Fax Number | 2562655865 |
| Mailing Telephone | 2562655864 |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
37926 | AL | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
37926 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1104 Monroe St Sw, Huntsville, AL 35801 | 2562655864 | 2562655865 |
| Street Address |
1104 MONROE ST SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427154327 | Jerrod Taylor | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2006-09-16 |
| 1417454877 | Alicia Vasquez | Nurse Practitioner | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2018-04-11 |
| 1306346150 | Jessica Burkeen | Nurse Practitioner | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2018-02-19 |
| 1215385380 | Kelly Bradford Vazquez | Nurse Practitioner | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2016-05-31 |
| 1245620236 | Emily Cork | Nurse Practitioner | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2015-01-28 |
| 1447667795 | Avinash Adiga | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2014-07-18 |
| 1588084891 | David Chodos | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2014-04-25 |
| 1407298029 | Muhammad Shafi | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801 | 2013-07-24 |
| 1003256900 | Tarun Kukkadapu | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2013-06-25 |
| 1245678853 | Huntsville Hospital Lung Center | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255497392 | Melinda ----- Thompson | Internal Medicine | 406 Governors Dr Sw, Huntsville, AL 35801-5124 | 2006-12-30 |
| 1114028271 | Misbahuddin Faisal Siddiqui | Internal Medicine | 725 Madison Street, Huntsville, AL 35801 | 2006-09-25 |
| 1427154327 | Jerrod Taylor | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2006-09-16 |
| 1174597942 | Devi P Misra | Internal Medicine | 400 Whitesport Dr Sw, Suite 103, Huntsville, AL 35801-6452 | 2006-02-16 |
| 1619338811 | Huntsville Inpatient Services LLC | Internal Medicine | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2016-03-15 |
| 1447667795 | Avinash Adiga | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2014-07-18 |
| 1588084891 | David Chodos | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2014-04-25 |
| 1003256900 | Tarun Kukkadapu | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2013-06-25 |
| 1124375415 | Prithvi Kukkadapu | Internal Medicine | 1104 Monroe St Sw, Huntsville, AL 35801 | 2012-08-06 |
| 1447563812 | Roshen Mathew | Internal Medicine | 725 Madison St Se, Huntsville, AL 35801 | 2010-07-14 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on DR. AMOGH GAJANKUSH.
| 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.