BHAKTAVATHSALA REDDY DANDOLU (NPI# 1376742163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376742163 |
Entity Type | Individual |
Full Name | BHAKTAVATHSALA REDDY DANDOLU |
Other Name | B. REDDY DANDOLU |
Credential | MD |
Practice Address |
1707 W Charleston Blvd Suite 160 Las Vegas NV 89102-2351 |
Mailing Address |
1701 W Charleston Blvd Suite 215 Las Vegas NV 89102-2325 |
Practice Telephone | 7026715150 |
Practice Fax Number | 7023846493 |
Mailing Telephone | 7026712395 |
Mailing Fax Number | 7023825388 |
Enumeration Date | 2007-07-12 |
Last Update Date | 2013-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 14614 | NV | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | C51992 | CA | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25MA06622600 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
1707 W CHARLESTON BLVD SUITE 160 |
City | LAS VEGAS |
State | NV |
Zip Code | 89102-2351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750377693 | Miracle Wangsuwana | Psychiatry & Neurology | 1707 W Charleston Blvd, Suite #220, Las Vegas, NV 89102-2351 | 2005-09-26 |
1073040127 | Evan Drew Davis | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2017-05-19 |
1336674969 | Bobby Karandeep Singh Brar | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
1497280036 | Pooja Patil | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
1346772597 | Angela Hui-chia Liu | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-03-28 |
1902345077 | Ankita Raman | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Ste 120, Las Vegas, NV 89102-2351 | 2017-02-22 |
1669852513 | Cameron Lasley | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2015-06-05 |
1043627508 | Richard Witty Jr. | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-16 |
1346657285 | Jacqueline Sanders Delaney | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-11 |
1710305156 | Ali Osama Malik | Internal Medicine | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2014-04-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
Find all providers in zip 89102 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265763353 | George E Merino | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5828 Calle De Honra, Las Vegas, NV 89120-2327 | 2010-01-29 |
1235305939 | Juan Manuel Lehoux | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3006 S Maryland Pkwy Ste 690, Las Vegas, NV 89109 | 2008-05-02 |
1851579395 | Larry F Cohler Md Ltd | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3061 S Maryland Pkwy Ste 202, Las Vegas, NV 89109-6227 | 2008-02-07 |
1194905059 | Cardiovascular and Thoracic Surgeons of Nevada Ltd | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4160 S Pecos Rd, #10, Las Vegas, NV 89121-5025 | 2007-11-08 |
1609902279 | Robert G Wiencek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7190 S Cimarron Rd, Las Vegas, NV 89113-2171 | 2007-02-26 |
1598793549 | Martinmd, Mavroidismd, Dhudshiamd, & Feikesmd, Cardiovascular Surgical | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5320 South Rainbow Blvd, #282, Las Vegas, NV 89118 | 2006-06-29 |
1124061288 | Harbinder Singh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5380 S Rainbow Blvd Ste 110, Las Vegas, NV 89118-1878 | 2006-06-14 |
1902872344 | Frederick G. Schechter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6855 Stone Dr, Las Vegas, NV 89110-4126 | 2006-02-26 |
1184602914 | Demetrios K. Mavroidis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5320 S. Rainbow Blvd, Suite 282, Las Vegas, NV 89118-1895 | 2006-01-03 |
1437137262 | Nancy Anne Donahoe | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5320 S. Rainbow Blvd., Ste 282, Las Vegas, NV 89118 | 2006-01-03 |
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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.