GAUTAM REDDY ANUGU (NPI# 1407476468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407476468 |
| Entity Type | Individual |
| Full Name | GAUTAM REDDY ANUGU |
| Credential | MD |
| Practice Address |
3033 W Orange Ave Anaheim CA 92804-3183 |
| Mailing Address |
1791 S Campton Ave Unit 239 Anaheim CA 92805-6745 |
| Practice Telephone | 2142774354 |
| Mailing Telephone | 2142774354 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3033 W ORANGE AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554362 | The Anaheim Vhs Limited Partnership | General Acute Care Hospital | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2006-01-31 |
| 1578180618 | Deepthi Devagudi | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2020-07-04 |
| 1326660143 | Lakshita Gupta | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2020-05-14 |
| 1487275194 | Olaniyi Fadeyi | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3183 | 2020-05-04 |
| 1821619016 | Jonathan Charlu | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3183 | 2020-04-29 |
| 1699395137 | Zetha Sovyanhadi | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2020-04-24 |
| 1487274825 | Tatiana Vasilyeva | Internal Medicine | 3033 W Orange Ave, Anaheim, CA 92804-3183 | 2020-04-24 |
| 1568021913 | Amethyst Aguero | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2019-06-10 |
| 1205494283 | Phuong Nguyen | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2019-06-04 |
| 1235624123 | Nancy Quan Tiet | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2018-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564665 | Tuong-vy Tran | Student in an Organized Health Care Education/Training Program | 1608 S Songish St, Anaheim, CA 92804-6054 | 2020-10-01 |
| 1740805373 | Nelson S Poliran Jr. | Student in an Organized Health Care Education/Training Program | 2127 W Beacon Ave, Anaheim, CA 92804-4407 | 2020-06-09 |
| 1952925588 | Snehamayi Ramyanam | Student in an Organized Health Care Education/Training Program | 3033 W Oranage Ave, West Anaheim Medical Center, Anaheim, CA 92804-3156 | 2020-05-29 |
| 1578185757 | Katryna Fedora Olarte | Student in an Organized Health Care Education/Training Program | 3413 W Canoga Pl Apt 1, Anaheim, CA 92804-2751 | 2020-05-11 |
| 1669012894 | Hayley Ann Le Count | Student in an Organized Health Care Education/Training Program | 2011 W Katella Ave Unit 34, Anaheim, CA 92804-6539 | 2020-01-15 |
| 1811532195 | Sadia Chohan | Student in an Organized Health Care Education/Training Program | 1329 N Maple St, Anaheim, CA 92801-1635 | 2019-11-11 |
| 1861057556 | Michael Tieu Loi | Student in an Organized Health Care Education/Training Program | 600 S Sunkist St, Anaheim, CA 92806-4529 | 2019-05-08 |
| 1912487604 | Ana Mir-hosseini | Student in an Organized Health Care Education/Training Program | 260 S Loganberry St, Anaheim, CA 92808-2252 | 2018-08-21 |
| 1124510789 | Lucia Vazquez | Student in an Organized Health Care Education/Training Program | 2818 W Rome Ave, Anaheim, CA 92804-3926 | 2018-05-30 |
| 1225560204 | Amy Chenwei Huang | Student in an Organized Health Care Education/Training Program | 1685 E Lincoln Ave, Anaheim, CA 92805-2295 | 2017-03-30 |
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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.