DR. NELLYA KANDKHOROVA (NPI# 1467639880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467639880 |
| Entity Type | Individual |
| Full Name | DR. NELLYA KANDKHOROVA |
| Other Name | NELLYA SHAMALOVA |
| Credential | MD |
| Practice Address |
1107 W. Poplar Ave. Porterville CA 93257-5839 |
| Mailing Address |
314 N. Main Street Porterville CA 93257-3730 |
| Practice Telephone | 5597817242 |
| Practice Fax Number | 5597828259 |
| Mailing Telephone | 5597917000 |
| Mailing Fax Number | 5597821418 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2009-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A107129 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 247416 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1107 W. POPLAR AVE. |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-5839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336453380 | Vladimir Kroupa Md A Medical Corporation | Internal Medicine | 114 N D St, Porterville, CA 93257-3621 | 2010-08-02 |
| 1326272071 | Iqbal Singh Bal | Internal Medicine | 380 N Reservation Road, Porterville, CA 93257 | 2009-05-11 |
| 1114105079 | Alla Liberstein, Md, Inc. | Internal Medicine | 277 W Putnam Ave, Porterville, CA 93257-3450 | 2008-02-03 |
| 1619022837 | Elif Tokcan Md Inc | Internal Medicine | 365 N. Pearson Dr. Ste. 5, Porterville, CA 93257 | 2007-01-25 |
| 1700949872 | Kannappan Mohan | Internal Medicine | 583 West Putnam Avenue, Porterville, CA 93257-3260 | 2006-12-19 |
| 1700961364 | Maryann Diaz Pagulayan-sy | Internal Medicine | 245 W Cherry Ave, Porterville, CA 93257-3401 | 2006-10-25 |
| 1386740421 | Nallathamby Thayapran | Internal Medicine | 240 N Porter Rd, Porterville, CA 93257-3140 | 2006-09-16 |
| 1700893492 | Rakesh Jindal | Internal Medicine | 332 N Villa St, Porterville, CA 93257-3211 | 2006-08-02 |
| 1659303980 | Nirupama Vemuri | Internal Medicine | 557 W Morton Ave, Suite A, Porterville, CA 93257-3333 | 2006-07-07 |
| 1225082910 | Ravindranath Arani Reddy | Internal Medicine | 591 W Putnam Ave, Porterville, CA 93257 | 2006-05-19 |
| Find all providers in PORTERVILLE | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
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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.