SARODE K PUNDALEEKA (NPI# 1447245071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447245071 |
| Entity Type | Individual |
| Full Name | SARODE K PUNDALEEKA |
| Credential | MD |
| Practice Address |
2614 W Jefferson St Joliet IL 60435 |
| Practice Telephone | 8157251355 |
| Practice Fax Number | 8157259857 |
| Mailing Telephone | 8157251355 |
| Mailing Fax Number | 8157259857 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036052030 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE INDIV ID# FOR GROUP 205474 | L98065 | 01 |
| IL | 036052030 | 05 | |
| IL | MEDICARE RR | 830000578 | 01 |
| IL | MEDICARE INDIV ID# FOR GROUP 336140 | L29320 | 01 |
| Street Address |
2614 W JEFFERSON ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386207306 | Wanda Matthews | Nurse Practitioner | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2019-04-16 |
| 1366903452 | Precision Radiation Oncology LLC | Radiology | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2019-03-29 |
| 1568943637 | Joliet Oncology-hematology Associates Ltd | Durable Medical Equipment & Medical Supplies | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2018-08-27 |
| 1861883407 | Wendy Arnold | Dietitian, Registered | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2015-02-17 |
| 1174875090 | Nancy Gerum | Nurse Practitioner | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2012-10-03 |
| 1861620403 | Virag Dandekar | Radiology | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2009-06-22 |
| 1669676805 | A Womans Place Inc | Prosthetic/Orthotic Supplier | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2007-06-12 |
| 1134330426 | Brian J Blonigen | Radiology | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2007-05-25 |
| 1952498628 | Joliet Oncology Hematology Associates Ltd | Radiology | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2006-10-06 |
| 1801989249 | Joliet Oncology-hematology Associates Ltd | Pharmacy | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2006-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245325018 | Worood Abboud | Internal Medicine | 2614 W. Jefferson St, Joliet, IL 60435 | 2006-10-04 |
| 1225024722 | Jason J Suh | Internal Medicine | 2614 West Jefferson Street, Joliet Oncology Hematology Associates, Ltd., Joliet, IL 60435 | 2005-09-21 |
| 1104146505 | Salman Abdul Waheed | Internal Medicine | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2010-06-08 |
| 1306094842 | Nina Yedavalli | Internal Medicine | 1301 Copperfield Ave, Suite 105, Joliet, IL 60432-2054 | 2008-09-08 |
| 1861428583 | Sunil Narula | Internal Medicine | 1301 Copperfield Ave, #105, Joliet, IL 60432-2054 | 2006-06-24 |
| 1245296896 | Ellen J Gustafson | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435 | 2006-04-24 |
| 1568458107 | Ali R Lakhani | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435 | 2005-09-20 |
| 1952396582 | Kulumani M Sivarajan | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435 | 2005-09-20 |
| 1851386460 | Nafisa D Burhani | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435 | 2005-09-20 |
| 1396730909 | Sanjiv S Modi | Internal Medicine | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2005-09-20 |
| Find all providers in JOLIET | ||||
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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.