DR. SUDHANVA UPENDRA WADGAONKAR (NPI# 1356340582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356340582 |
| Entity Type | Individual |
| Full Name | DR. SUDHANVA UPENDRA WADGAONKAR |
| Credential | MD |
| Practice Address |
3715 Prytania St Suite 400 New Orleans LA 70115-3768 |
| Mailing Address |
3600 Prytania St Suite 35 New Orleans LA 70115-3678 |
| Practice Telephone | 5048978276 |
| Practice Fax Number | 5048978336 |
| Mailing Telephone | 5048977197 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
05298R | LA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
05298R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1337315 | 05 |
| Street Address |
3715 PRYTANIA ST SUITE 400 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518499870 | Meridian Integrative Medicine LLC | Internal Medicine | 3715 Prytania St, 500, New Orleans, LA 70115-3761 | 2017-03-28 |
| 1669820445 | Elizabeth Clement | Physician Assistant | 3715 Prytania St, Ste 400, New Orleans, LA 70115-3761 | 2016-06-02 |
| 1740618297 | Worley & Hariri Oculoplastic Surgery LLC | Ophthalmology | 3715 Prytania St, Suite 504, New Orleans, LA 70115-3761 | 2013-10-20 |
| 1063731040 | Michael Peng-wei Lee | Pathology | 3715 Prytania St, New Orleans, LA 70115-3761 | 2010-05-29 |
| 1609053768 | Zion Medical Group Inc | Clinic/Center | 3715 Prytania St, Suite 2, New Orleans, LA 70115-3761 | 2008-01-30 |
| 1760678627 | John Watermeier | Specialist | 3715 Prytania St, Suite 501, New Orleans, LA 70115-3761 | 2007-09-24 |
| 1790994929 | Adham Bassam Al Hariri | Ophthalmology | 3715 Prytania St, Suite 504, New Orleans, LA 70115-3761 | 2007-05-22 |
| 1740344555 | A W Dermatopathology Service | Clinical Medical Laboratory | 3715 Prytania St, Ste. 306, New Orleans, LA 70115-3761 | 2006-12-19 |
| 1932293222 | Michael Thomas Weaver | Surgery | 3715 Prytania St, Ste 400, New Orleans, LA 70115-3761 | 2006-10-03 |
| 1528177532 | Orleans Orthopaedic Associates, LLC | Orthopaedic Surgery | 3715 Prytania St, Suite 501, New Orleans, LA 70115-3761 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| 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 |
|---|---|---|---|---|
| 1326242819 | David R. Janz | Internal Medicine | 1901 Perdido St Ste 3205, New Orleans, LA 70112-1393 | 2007-06-11 |
| 1568569713 | James S Dunnick | Internal Medicine | 531 Burgundy St, New Orleans, LA 70112-3403 | 2006-09-20 |
| 1922021872 | James Patrick O'leary | Internal Medicine | Surgery, 1542 Tulane Ave, New Orleans, LA 70112 | 2006-07-25 |
| 1902829831 | David Gellinger Kline | Internal Medicine | Neurosurgery, 2020 Gravier St 7th Floor, New Orleans, LA 70112 | 2006-07-25 |
| 1154344109 | Robert Charles Mipro Jr. | Internal Medicine | Lsu Pm&r Clinic, 1532 Tulane Avenue, New Orleans, LA 70112 | 2006-07-25 |
| 1033132972 | Herman Andrew Heck Jr. | Internal Medicine | Lsuhn Ct Surgery, 3535 Bienville Street, Suite E325, New Orleans, LA 70119 | 2006-07-25 |
| 1477576312 | Linda Marie Joseph | Internal Medicine | Helen Levy Clinic, 2727 Louisa Street, Suite 7, New Orleans, LA 70126 | 2006-07-25 |
| 1790708618 | Alfredo Lopez | Internal Medicine | Nutrition Department, 2020 Gravier Street, New Orleans, LA 70112 | 2006-07-25 |
| 1760405682 | Kenneth Marlin Dieffenbach | Internal Medicine | Lsu Plastic Surgery Clinic, 1532 Tulane Avenue, New Orleans, LA 70112 | 2006-07-25 |
| 1396767190 | Marcy D. Rose | Internal Medicine | Psychiatry, 1542 Tulane Avene, New Orleans, LA 70112 | 2006-07-24 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
Please comment or provide details below to improve the information on DR. SUDHANVA UPENDRA WADGAONKAR.
| 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.