VARADENDRA B PANCHAMUKHI (NPI# 1447332457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447332457 |
| Entity Type | Individual |
| Full Name | VARADENDRA B PANCHAMUKHI |
| Credential | M.D. |
| Practice Address |
8440 Walnut Hill Ln Ste 700 Dallas TX 75231 |
| Mailing Address |
8440 Walnut Hill Ln Ste 700 Dallas TX 75231-3824 |
| Practice Telephone | 2143613300 |
| Practice Fax Number | 2143613353 |
| Mailing Telephone | 2143613300 |
| Mailing Fax Number | 2143613353 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 036-100960 | IL | Other Service Providers |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036100960 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036100960 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036100960 | 05 | |
| IL | RAILROAD | 060070688 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4510 Medical Center Dr Ste 108, Mckinney, TX 750691624 | 2147269292 | 2143613431 |
| 5680 Frisco Square Blvd Ste 2500, Frisco, TX 750343315 | 2143613300 | |
| 1600 Coit Rd Ste 308, Plano, TX 750756173 | 2143613300 | |
| 1600 Coit Rd Ste 306, Plano, TX 750756172 | 2143613300 | |
| 8440 Walnut Hill Ln Ste 700, Dallas, TX 752313824 | 2143613300 | 2143613353 |
| Street Address |
8440 WALNUT HILL LN STE 700 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388789 | Amanda Savage | Nurse Practitioner | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231-3824 | 2020-02-15 |
| 1679123871 | Balraj Kaur | Nurse Practitioner | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231 | 2019-09-19 |
| 1659880995 | Amanda Paige Gruber | Nurse Practitioner | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231 | 2017-09-28 |
| 1639695497 | Jessica Mitchell | Nurse Practitioner | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231-3824 | 2017-08-14 |
| 1720538150 | Cetty Thompson | Nurse Practitioner | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231 | 2016-10-10 |
| 1174752372 | Srinivas Yallapragada | Multi-Specialty | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231 | 2009-07-08 |
| 1760624928 | Sunil Kumar Chillakuru Reddy | Internal Medicine | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231-3824 | 2009-04-01 |
| 1275732604 | Mustafa Mustansir Dohadwala | Internal Medicine | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231-3824 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417290156 | Zachary Paul Rosol | Internal Medicine | 621 N Hall St Ste 500, Dallas, TX 75226-1301 | 2013-04-01 |
| 1811082605 | Cardiac Disease Specialists, PC | Internal Medicine | 296 Merchants Sq, Dallas, GA 30132-5029 | 2006-10-04 |
| 1902163033 | Luis Anthony Bowen | Internal Medicine | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2012-04-13 |
| 1356631683 | Thomas Philip Koshy | Internal Medicine | 2001 Inwood Rd, Dallas, TX 75390 | 2011-04-07 |
| 1689984585 | Cardiology Specialists of North Texas, Pllc | Internal Medicine | 7777 Forest Lane, Ste. C339, Dallas, TX 75230-2501 | 2010-10-14 |
| 1487827291 | Jay Yeshawant Gadgil | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2008-04-12 |
| 1902080484 | William Enrique Posligua | Internal Medicine | 3430 W. Wheatland Road, Building I Suite 202, Dallas, TX 75237 | 2007-12-20 |
| 1013955319 | Carlos E Velasco | Internal Medicine | 3600 Gaston Ave, Suite 851, Dallas, TX 75246-1800 | 2006-06-02 |
| 1750329066 | Ricardo Guerra Jr. | Internal Medicine | 8440 Walnut Hill Ln, Suite 700, Dallas, TX 75231-3833 | 2006-06-02 |
| 1114965407 | Steven L Meyer | Internal Medicine | 8440 Walnut Hill Ln, Suite 700, Dallas, TX 75231-3833 | 2006-06-02 |
| Find all providers in DALLAS | ||||
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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.