KUDUVALLI OMPRAKASH


Address: 235 Port Richmond Ave, Staten Island, NY 10302-1701
Phone: 7189242254

KUDUVALLI OMPRAKASH (NPI# 1376504019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376504019
Entity Type Individual
Full Name KUDUVALLI OMPRAKASH
Credential MD
Practice Address 235 Port Richmond Ave
Staten Island
NY 10302-1701
Practice Telephone 7189242254
Practice Fax Number 7184420189
Mailing Telephone 7189242254
Mailing Fax Number 7184420189
Enumeration Date 2006-03-31
Last Update Date 2012-04-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 146561 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00810206 05

Office Location

Street Address 235 PORT RICHMOND AVE
City STATEN ISLAND
State NY
Zip Code 10302-1701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013905132 Sandra Blandon Nurse Practitioner 235 Port Richmond Ave, Staten Island, NY 10302-1701 2005-10-12
1023557832 Kristina Miles Pediatrics 235 Port Richmond Ave, Staten Island, NY 10302-1701 2017-02-14
1649655580 Basma Elsawy Internal Medicine 235 Port Richmond Ave, Staten Island, NY 10302-1701 2015-07-21
1467881268 Cristina Insumran Family Medicine 235 Port Richmond Ave, Staten Island, NY 10302-1701 2013-11-02
1124217591 Rizalina N Trompeta-wong Nurse Practitioner 235 Port Richmond Ave, Staten Island, NY 10302-1701 2007-10-22
1538356779 Monique T. Welbeck Nurse Practitioner 235 Port Richmond Ave, Staten Island, NY 10302-1701 2007-10-02
1205027943 Theresa A Belfiore Advanced Practice Midwife 235 Port Richmond Ave, Staten Island, NY 10302-1701 2007-08-07
1386860229 Sonylma Ramos Nutritionist 235 Port Richmond Ave, Staten Island, NY 10302-1701 2007-04-18
1023136413 Jessie Bautista Pita Pediatrics 235 Port Richmond Ave, Staten Island, NY 10302-1701 2007-03-26
1093874034 Lillian Ibeth Diaz Pediatrics 235 Port Richmond Ave, Staten Island, NY 10302-1701 2006-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306494174 Denasia Fitch Student in an Organized Health Care Education/Training Program 80 Willowbrook Rd, Staten Island, NY 10302 2019-08-26
1548752983 Lawan Rickenbacker Counselor 28 Treadwell Ave, Staten Island, NY 10302 2018-06-01
1275059321 Omolara Rachael Adediji Nurse Practitioner 210 Trantor Place, Apt 1d, Staten Island, NY 10302 2017-08-21
1558893479 Joseph Wilson Substance Abuse Rehabilitation Facility 273 Heberton Avenue, Staten Island, NY 10302 2017-03-30
1902358864 Natalie Valencia Toney-zubairu Nurse Practitioner Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 2016-10-26
1912453788 Adewunmi Bankole Registered Nurse 124 Nicholas Avenue Apt B, Staten Island, NY 10302 2016-08-31
1154788974 Eileen Patricia Cameron Counselor 263-267 Port Richmond Aveune, Staten Island, NY 10302 2016-01-25
1225468432 Total Dental Care of Staten Island, P.C. Dentist 135 Willowbrook Road, Staten Island, NY 10302 2013-11-25
1760723621 Si. Senior Lifestyle Center Inc Clinic/Center 98 Port Richmond Ave, Staten Island, NY 10302 2013-03-01
1962751255 Kathleen Gomez-rodriguez Speech-Language Pathologist 12 Crystal Ave, Staten Island, NY 10302 2012-09-03
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700404720 Medical Doctor Milena Kolesnikova PC Internal Medicine 586 Midland Ave Ste B, Staten Island, NY 10306-5903 2020-07-07
1962913459 Vaithilingam Arulthasan Md PC Internal Medicine 57 Andes Pl, Staten Island, NY 10314-5524 2017-10-24
1306384839 Nazar Sharak Internal Medicine 7 Father Capodanno Blvd, Staten Island, NY 10305-4801 2017-02-03
1326494485 Syed Shahab Kazmi Internal Medicine 355 Bard Ave Dept of Medicine Villa Building, 1st Floor, Staten Island, NY 10310-1664 2016-05-09
1114380383 Crown Neurology, P.C. Internal Medicine 1181 Woodrow Rd, Staten Island, NY 10309-1723 2016-04-04
1114386265 Maryline Shang Nformi Internal Medicine 355 Bard Avenue, Dep't of Medicine Villa B'dg 1st Floor, Staten Island, NY 10310-1664 2016-02-17
1639557382 Charles Sineri Internal Medicine 104 Nashville St, Staten Island, NY 10307-1325 2015-05-14
1669866158 Ellis Enabosi Internal Medicine 455 Jersey St, Staten Island, NY 10301-2976 2015-03-24
1780086363 Prr Diagnostic Medicine PC Internal Medicine 1265 Clove Rd, Staten Island, NY 10301-4339 2014-09-25
1689088403 Ashraf Saad Dwal Internal Medicine 355 Bard Ave Dept Of, Villa Bldg 1st Floor, Staten Island, NY 10310 2014-06-19
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Competitor

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City STATEN ISLAND
Zip Code 10302

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Dataset Information

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.

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