DR. NEELIMA MADDUKURI (NPI# 1366549735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366549735 |
| Entity Type | Individual |
| Full Name | DR. NEELIMA MADDUKURI |
| Credential | M.D |
| Practice Address |
2010 Ben Merritt Dr Suite A Decatur TX 76234-3854 |
| Mailing Address |
Po Box 2078 Decatur TX 76234-6156 |
| Practice Telephone | 9406262300 |
| Practice Fax Number | 9406262315 |
| Mailing Telephone | 9406262300 |
| Mailing Fax Number | 9406262315 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
M9471 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 208940103 | 05 | |
| TX | BCBS | 8CU842 | 01 |
| Street Address |
2010 BEN MERRITT DR SUITE A |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639135452 | Russell Doubrava Do Pa | Urology | 2010 Ben Merritt Dr, Ste B, Decatur, TX 76234 | 2006-04-21 |
| 1083126825 | Jamie Linn Rogers | Nurse Practitioner | 2010 Ben Merritt Dr, Decatur, TX 76234-3854 | 2017-11-02 |
| 1427416064 | Chanin Owen | Nurse Practitioner | 2010 Ben Merritt Dr, Suite A, Decatur, TX 76234-3854 | 2016-02-09 |
| 1104112523 | Linda Marie Schaefer | Physician Assistant | 2010 Ben Merritt Dr, Decatur, TX 76234-3854 | 2011-06-23 |
| 1053571091 | Dallas Oncology Consultants Pa | Internal Medicine | 2010 Ben Merritt Dr, Suite A, Decatur, TX 76234-3854 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578755815 | Oncology Specialties, PC | Internal Medicine | 310 8th Ave Se, Decatur, AL 35601 | 2007-08-10 |
| 1134291792 | Southeast Cancer Network, Inc. | Internal Medicine | 1107 14th Ave Se Ste 200, Decatur, AL 35601-3354 | 2006-11-15 |
| 1497726137 | Sammy F Becdach | Internal Medicine | 1107 14th Ave Se, Plaza II Suite 200, Decatur, AL 35601-3309 | 2006-01-31 |
| 1063412567 | Aaron R Alizadeh | Internal Medicine | 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 | 2005-07-26 |
| 1669762795 | Vijay Kumar Damarla | Internal Medicine | 210 W Mckinley Ave Ste 1, Decatur, IL 62526 | 2011-04-11 |
| 1053571091 | Dallas Oncology Consultants Pa | Internal Medicine | 2010 Ben Merritt Dr, Suite A, Decatur, TX 76234-3854 | 2008-06-12 |
| 1447437538 | Ana Gabriela Antun | Internal Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2008-01-30 |
| 1770769234 | Simbo Oluwabusuyi Aduloju | Internal Medicine | 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 | 2008-01-15 |
| 1396876835 | Badi El Osta | Internal Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-03-08 |
| 1326152208 | Maria Ja Ribeiro | Internal Medicine | 1670 Clairmont Rd, Maistop 111, Decatur, GA 30033-4004 | 2006-08-18 |
| Find all providers in DECATUR | ||||
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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.