REVATHI ANGITAPALLI (NPI# 1497921829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497921829 |
| Entity Type | Individual |
| Full Name | REVATHI ANGITAPALLI |
| Credential | M.D. |
| Practice Address |
811 W Interstate 20 Suite G14 Arlington TX 76017-5870 |
| Practice Telephone | 8177848268 |
| Practice Fax Number | 8178048184 |
| Mailing Telephone | 8177848268 |
| Mailing Fax Number | 8178048184 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2016-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
M7828 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 204551003 | 05 | |
| TX | 204551002 | 05 | |
| TX | MCNT - RAILROAD MEDICARE | P01313406 | 01 |
| TX | PHYSICIAN LICENSE | M7828 | 01 |
| TX | 204551004 | 05 | |
| TX | MEDICARE RAILROAD | 204551011 | 01 |
| Street Address |
811 W INTERSTATE 20 SUITE G14 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-5870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144674 | William T Bowers | Surgery | 811 W Interstate 20, Suite 212, Arlington, TX 76017-5870 | 2005-06-14 |
| 1962947283 | Vanessa Marie Mcdaniel | Nurse Practitioner | 811 W Interstate 20, Arlington, TX 76017 | 2016-12-21 |
| 1215228119 | Lucillous P Alexander | Physician Assistant | 811 W Interstate 20, Arlington, TX 76017-5870 | 2011-04-26 |
| 1073778288 | David George Markovich Jr. | Physical Therapist | 811 W Interstate 20, Suite 136, Arlington, TX 76017-5870 | 2008-07-28 |
| 1033235627 | Kory Jones | Surgery | 811 W Interstate 20, Ste 212, Arlington, TX 76017-5870 | 2007-03-22 |
| 1659385268 | Jason Michael Greenfield | Urology | 811 W Interstate 20, Suite G22, Arlington, TX 76017-5870 | 2006-07-28 |
| 1053359562 | Margaret Manion Alloy | Nurse Practitioner | 811 W Interstate 20, Suite 218, Arlington, TX 76017-5870 | 2006-06-04 |
| 1720051212 | David C. Dyslin | Surgery | 811 W Interstate 20, Ste. 212, Arlington, TX 76017-5870 | 2006-02-07 |
| 1275506776 | Benjamin L. Bowers | Surgery | 811 W Interstate 20, Ste. 212, Arlington, TX 76017-5870 | 2006-02-07 |
| 1417929183 | Harry Paul Stiefel | Surgery | 811 W Interstate 20, Ste. 212, Arlington, TX 76017-5870 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| 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 |
|---|---|---|---|---|
| 1033397773 | Metroplex Hematology Oncology Associates | Internal Medicine | 3030 Matlock Rd Ste 206, Arlington Cancer Center The Lakes At Matlock, Arlington, TX 76015-2936 | 2008-02-05 |
| 1962531418 | Alberto Andres Borges | Internal Medicine | 1635 N George Mason Dr Ste 480, Arlington, VA 22205-3676 | 2007-03-02 |
| 1174662332 | Alfred Bennette Brooks | Internal Medicine | 2530 Crystal Dr, 7th Flr, Room 7060, Arlington, VA 22202-3934 | 2007-02-05 |
| 1881130417 | Minnesota Oncology Hematology, Pa | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2017-01-06 |
| 1447541594 | Deepna Deepak Jaiswal | Internal Medicine | 515 W Mayfield Rd, Ste 102, Arlington, TX 76014-2083 | 2011-04-25 |
| 1518103811 | Keeran Ravin Sampat | Internal Medicine | 1635 N George Mason Dr, Ste 170, Arlington, VA 22205-3601 | 2008-12-17 |
| 1861698946 | Neelima Denduluri | Internal Medicine | 1635 N George Mason Dr, Ste 170, Arlington, VA 22205-3633 | 2007-06-25 |
| 1225047657 | Lixin Liao | Internal Medicine | 515 W Mayfield Rd, #101, Arlington, TX 76014-2083 | 2006-08-05 |
| 1700825155 | Linda Anne Verkruyse | Internal Medicine | 515 W Mayfield Rd, Suite 101, Arlington, TX 76014-2083 | 2006-06-04 |
| 1942248901 | Shrinivas Madhukar Diggikar | Internal Medicine | 515 W Mayfield Rd, Suite 101, Arlington, TX 76014-2083 | 2006-06-03 |
| Find all providers in ARLINGTON | ||||
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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.