PRAMILA PALLIKKAPPARA MOIDEEN (NPI# 1386269835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386269835 |
| Entity Type | Individual |
| Full Name | PRAMILA PALLIKKAPPARA MOIDEEN |
| Credential | MD |
| Practice Address |
Augusta University Medical Center Room Bf-103-b Augusta GA 30912-0001 |
| Mailing Address |
699 Windsor Rd Coppell TX 75019-2552 |
| Practice Telephone | 7067215118 |
| Mailing Telephone | 9729519599 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
11961 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
AUGUSTA UNIVERSITY MEDICAL CENTER ROOM BF-103-B |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957148 | Thomas E Cotter | Pathology | 1120 15th St # Bf-103b, Augusta, GA 30912-0004 | 2020-06-17 |
| 1720200306 | Scott Christopher Drury | Pathology | 2638 Coventry Rd, Augusta, GA 30909-6106 | 2007-05-03 |
| 1417000100 | Alvin B Bryan Jr. | Pathology | 1520 N Leg Rd, Augusta, GA 30909-4332 | 2007-01-18 |
| 1972686749 | David L Booker | Pathology | 1462 Laney Walker Blvd, Ca-2105, Augusta, GA 30912-0003 | 2006-10-23 |
| 1356379127 | Charles Beacham | Pathology | 3505 Lost Tree Ln, Augusta, GA 30907-9516 | 2006-06-29 |
| 1912948050 | Mark David Gusack | Pathology | 1 Center St, Augusta, ME 04330-6410 | 2006-06-09 |
| 1730173493 | Dwight Paul Mirmow | Pathology | 2260 Lurightsboro Rd, Laboratory Medicine, PC, Augusta, GA 30904 | 2005-09-08 |
| 1861018772 | Kiran Madwani | Pathology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| 1669097770 | Nivin Omar | Pathology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-15 |
| 1932724010 | Ahmed Arfa | Pathology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-14 |
| Find all providers in AUGUSTA | ||||
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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.