DR. KRISHNA KOMANDURI (NPI# 1295093466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295093466 |
| Entity Type | Individual |
| Full Name | DR. KRISHNA KOMANDURI |
| Credential | D.O |
| Practice Address |
1591 Medical Dr Pottstown PA 19464-3224 |
| Mailing Address |
1601 Medical Dr Pottstown PA 19464-3241 |
| Practice Telephone | 6103268005 |
| Practice Fax Number | 6107053540 |
| Mailing Telephone | 6103274200 |
| Mailing Fax Number | 6103278160 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
OS018815 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740553338 | Krishna Chandra Komanduri | Dentist | 12343 E Cornell Ave, #17, Aurora, CO 80014 | 2012-02-14 |
| 1598850265 | Krishna V. Komanduri | Internal Medicine | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2006-10-04 |
| Street Address |
1591 MEDICAL DR |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129869 | Ronald L Swaab | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2005-07-22 |
| 1891340048 | Alexander Seng | Nurse Practitioner | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2019-08-05 |
| 1891254769 | Darby Rae Smale | Nurse Practitioner | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2019-03-19 |
| 1194294306 | Danielle Matwijec | Nurse Practitioner | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2018-11-16 |
| 1932503026 | Pottstown Medical Specialists, Inc. | Preferred Provider Organization | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2014-10-17 |
| 1184966277 | Jason E Kaplan | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464 | 2013-03-27 |
| 1801182811 | Debra A Zlomek | Registered Nurse | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2011-06-28 |
| 1184913865 | Mandeep Singh Samra | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2011-04-01 |
| 1215242995 | Barbara Speelhoffer | Nurse Practitioner | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2010-08-18 |
| 1528233954 | Vascular Diagnostic Center PC | Surgery | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2008-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588681365 | Zia Mohamed Umruddin | Internal Medicine | 2223 E High St, Pottstown, PA 19464-3215 | 2006-07-16 |
| 1609164326 | Saifullah Nizamuddin Kazi | Internal Medicine | 2223 E High St, Pottstown, PA 19464-3215 | 2011-07-15 |
| 1184913865 | Mandeep Singh Samra | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2011-04-01 |
| 1679698401 | Pmsi Division of Nephrology | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-20 |
| 1093784258 | Gerald Herskovits | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1437790482 | Pinnacle Health Medical Services | Internal Medicine | 205 S Front St Fl 8, Harrisburg, PA 17104-1619 | 2019-10-01 |
| 1255983615 | Mujahed Maher Dauleh | Internal Medicine | 500 University Dr # H040, Hershey, PA 17033-2360 | 2019-07-15 |
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1245893270 | Nikita Igorevich Neverov | Internal Medicine | 501 Howard Ave Ste D204, Altoona, PA 16601-4814 | 2019-04-16 |
| 1831682707 | Aravind Cherukuri | Internal Medicine | 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 | 2018-06-14 |
| 1144731100 | Muhammad Owais Hanif | Internal Medicine | 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 | 2017-10-18 |
| 1285157917 | Mhd Said Al Zein | Internal Medicine | 1001 E 2nd St Ste E, Coudersport, PA 16915-8161 | 2017-07-25 |
| 1073068284 | Awais Ammar | Internal Medicine | 415 Limekiln Dr Unit A, Chambersburg, PA 17201-4510 | 2016-08-17 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
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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.