MADHUSUDAN R MALLADI


Address: 1036 W Stephenson St, Freeport, IL 61032-4865
Phone: 8155996000

MADHUSUDAN R MALLADI (NPI# 1376515064) 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) 1376515064
Entity Type Individual
Full Name MADHUSUDAN R MALLADI
Credential MD
Practice Address 1036 W Stephenson St
Freeport
IL 61032-4865
Mailing Address 421 W Exchange St
Po Box 268
Freeport
IL 61032-4030
Practice Telephone 8155996000
Enumeration Date 2006-02-06
Last Update Date 2017-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036088380 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036088380 05

Office Location

Street Address 1036 W STEPHENSON ST
City FREEPORT
State IL
Zip Code 61032-4865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457337016 Freeport Regional Health Care Foundation Allergy & Immunology 1036 W Stephenson St, Freeport, IL 61032-4865 2005-12-15
1881167278 Advanced Dermatology Clinic, Inc. Dermatology 1036 W Stephenson St, Freeport, IL 61032-4865 2019-01-08
1992223895 Cassandra K Reed Nurse Practitioner 1036 W Stephenson St, Freeport, IL 61032-4865 2017-08-31
1396170205 Jack S Harweger Registered Nurse 1036 W Stephenson St, Freeport, IL 61032-4865 2013-09-10
1902134281 Swedishamerican Hospital Thoracic Surgery (Cardiothoracic Vascular Surgery) 1036 W Stephenson St, Freeport, IL 61032 2009-11-25
1326183492 Freeport Regional Health Care Foundation Hearing Aid Equipment 1036 W Stephenson St, Freeport, IL 61032-4865 2007-02-20
1245300821 Toni Marie Levine Specialist 1036 W Stephenson St, Freeport, IL 61032-4865 2006-11-09
1417046020 Rafael R Castro Surgery 1036 W Stephenson St, Freeport, IL 61032-4865 2006-10-12
1336115534 Bhadresh A Patel Internal Medicine 1036 W Stephenson St, Freeport, IL 61032-4865 2006-02-27
1861468076 Ravishanker Vyas Internal Medicine 1036 W Stephenson St, Freeport, IL 61032-4865 2006-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013517713 Saad Awan Pharmacist 2545 Illinois 26 S, Freeport, IL 61032 2020-10-30
1891354460 Freeport Chiropractic LLC Chiropractor 2 W Stephenson St, Freeport, IL 61032 2019-06-07
1487168373 Lindsey Rae Harris-baker Speech-Language Pathologist 1802 W Laurel St, Freeport, IL 61032 2017-11-30
1861871246 Pearl Pavilion LLC Skilled Nursing Facility 910 Kiwanis Drive, Freeport, IL 61032 2015-05-19
1245584598 Mary E Brown Massage Therapist 815 W. Pleasant Street, Freeport, IL 61032 2012-11-07
1700135803 April Braband Specialist 421 Exchange, Freeport, IL 61032 2012-09-05
1518198662 Quad City Prosthetic Inc Prosthetic/Orthotic Supplier 1013 W Loras Dr, Suite A, Freeport, IL 61032 2009-08-06
1447486501 Gary Alan Besley Dentist 1450 S. West Ave., Freeport, IL 61032 2009-06-03
1023244290 Allies In Health Sc Chiropractor 418 W Meadows Dr., Freeport, IL 61032 2009-06-02
1912146614 Kayla Nicole Rodebaugh Specialist/Technologist 1010 Fairway Drive, Freeport, IL 61032 2009-02-19
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568755213 Winston Fitzgerald Forbes Internal Medicine The Medical Pavilion, East Sunrise Highway, Freeport, GRAND BAHAMA F42533 2011-05-26
1114913456 Lowell Ian Gerber Internal Medicine 100 Spencer's Ridge Rd., Freeport, ME 04032-7138 2005-09-22
1679708168 Freeport Cardiology, LLC Internal Medicine 100 Spencer's Ridge Rd., Freeport, ME 04032-7138 2009-05-27
1861451775 Rosalind Watman Internal Medicine 101 S Bergen Pl, Long Island Fqhc, Inc., Freeport, NY 11520-3528 2006-03-20
1336115534 Bhadresh A Patel Internal Medicine 1036 W Stephenson St, Freeport, IL 61032-4865 2006-02-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528596350 Stat Cardiologist Inc Internal Medicine 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 2017-05-24
1306296074 Safwan Gaznabi Internal Medicine Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2016-06-14
1154796290 Ray Jean Pensinger Internal Medicine 105 S. Fleming Rd., Woodstock, IL 60098-7903 2015-12-01
1073905311 Cardio Medical Center Sc Internal Medicine 7746 West Madison Ave, Forrest Park, IL 60131 2015-02-24
1427457399 Charles Joseph Frahm Internal Medicine 1200 E Madison Park, Chicago, IL 60615-2961 2014-08-17
1225447725 Jeremy R. Estrada Internal Medicine 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 2014-08-08
1285049197 Nidhi Madan Internal Medicine 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 2014-06-30
1295159184 Ca Group, LLC Internal Medicine 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 2014-02-12
1457788424 Chicago Vascular Clinic Ltd Internal Medicine 812 E Woodfield Rd, Schaumburg, IL 60173-4714 2013-10-04
1942634688 Vein Md Consultants, LLC Internal Medicine 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 2013-08-29
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Competitor

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City FREEPORT
Zip Code 61032

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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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