PRABHASH TATINENI


Address: 1521 Gull Rd, Kalamazoo, MI 49048-1640
Phone: 2692267000

PRABHASH TATINENI (NPI# 1477664167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477664167
Entity Type Individual
Full Name PRABHASH TATINENI
Practice Address 1521 Gull Rd
Kalamazoo
MI 49048-1640
Mailing Address 5943 Stadium Dr
Suite 3
Kalamazoo
MI 49009-3016
Practice Telephone 2692267000
Enumeration Date 2006-08-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301079834 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 1521 GULL RD
City KALAMAZOO
State MI
Zip Code 49048-1640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225033939 Midwestern Pathology, PC Pathology 1521 Gull Rd, Kalamazoo, MI 49048-1640 2005-06-17
1164038667 Emily Thurnherr Pharmacist 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-09-20
1578180899 Ceara Elaina Sibley Dietitian, Registered 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-07-02
1770108508 Emily Krumbach Pharmacist 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-06-08
1700400686 Emily Mccollum Psychologist 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-06-05
1316568850 Adraya Gabrielle Garrett Social Worker 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-05-06
1114551272 Brandy Lee Ford Internal Medicine 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-02-27
1689206120 Olivia Foote Dietitian, Registered 1521 Gull Rd, Kalamazoo, MI 49048-1666 2020-02-12
1962035402 Shannon Nicole Hepler Registered Nurse 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-02-12
1346887130 Bethany Paige Flanagan Dietitian, Registered 1521 Gull Rd, Kalamazoo, MI 49048-1640 2019-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790214146 Sally Leigh Weigandt Technician, Other 5438 Lucerne Ave, Kalamazoo, MI 49048 2017-06-08
1437606670 Amanda Ezekiel Advanced Practice Midwife 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 2016-09-06
1700238987 Brittany Bittenbender Technician, Other 5840 E Cork St, Kalamazoo, MI 49048 2016-07-12
1255747176 Araena Payton Early Intervention Provider Agency 1313 Hotop Ave, Kalamazoo, MI 49048 2014-07-11
1508297151 Hope Network Eastwood House Residential Treatment Facility, Physical Disabilities 2236 Brook Drive, Kalamazoo, MI 49048 2013-12-09
1457780314 Hope Network Rehabilitation Servicesq Residential Treatment Facility, Physical Disabilities 2236 Brooke Drive, Kalamazoo, MI 49048 2013-11-01
1467889576 Aaron Van Heest Social Worker 813 Chrysler St., Kalamazoo, MI 49048 2013-10-03
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1356523229 Borgess Medical Center Psychiatry & Neurology 1521 Gull Road, Kalamazoo, MI 49048 2007-12-03
1629290135 Robert Claude Gano Dentist 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 2007-05-03
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316582372 Home Visiting Doctors Association P.C. Internal Medicine 251 N Rose St Ste 218, Kalamazoo, MI 49007-3860 2019-11-14
1669022307 Ivana Nyirenda Internal Medicine 109 Candlewyck Dr Apt 621, Kalamazoo, MI 49001-5435 2019-09-15
1477946184 Christopher Brackshaw Internal Medicine 601 John St., Box Number 74, Kalamazoo, MI 49007 2015-03-05
1043639933 Andrew Heisler Internal Medicine 601 John St Ste M-030, Kalamazoo, MI 49007-5341 2014-04-08
1376983205 Christopher Foster Hanzaker Internal Medicine 601 John St Ste M-170a, Kalamazoo, MI 49007 2013-06-25
1679919724 Ryan Daryl Melvin Internal Medicine 601 John St Ste 100, Kalamazoo, MI 49007 2013-05-16
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1154473635 Venu Gourineni Internal Medicine 1722 Shaffer St Ste 1, Kalamazoo, MI 49048-1633 2007-01-17
1356436976 Branko Grinfeld Internal Medicine 5943 Stadium Dr., Kalamazoo, MI 49009 2006-10-03
1962596502 Rockelle Donishia Rogers Internal Medicine 117 W Paterson Street, Kalamazoo, MI 49007 2006-10-03
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Competitor

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City KALAMAZOO
Zip Code 49048

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Dataset Information

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.

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