DHEERAJ KODALI (NPI# 1508179607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508179607 |
| Entity Type | Individual |
| Full Name | DHEERAJ KODALI |
| Credential | M.D. |
| Practice Address |
115 Summers Hospital Rd Hinton WV 25951-5172 |
| Mailing Address |
3110 Maccorkle Ave Se Charleston WV 25304-1210 |
| Practice Telephone | 3402552918 |
| Mailing Telephone | 3043881000 |
| Mailing Fax Number | 3043881041 |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2018-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
26214 | WV | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
26214 | WV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 250 Stanaford Rd, Beckley, WV 258013140 | 3042543520 | |
| 3110 Maccorkle Ave Se, Charleston, WV 253041210 | 3043881000 | 3043881041 |
| Street Address |
115 SUMMERS HOSPITAL RD |
| City | HINTON |
| State | WV |
| Zip Code | 25951-5172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033107016 | Matthew John Haag | Family Medicine | 115 Summers Hospital Rd, Hinton, WV 25951-5172 | 2005-10-12 |
| 1174183354 | Bret Lane | Physical Therapist | 115 Summers Hospital Rd, Hinton, WV 25951-5172 | 2019-06-19 |
| 1447793112 | Jacqueline Harper | Physical Therapy Assistant | 115 Summers Hospital Rd, Hinton, WV 25951-5172 | 2016-11-29 |
| 1073960191 | Kim Oliver Visperas Romero | Physical Therapist | 115 Summers Hospital Rd, Hinton, WV 25951-5172 | 2016-05-18 |
| 1215362256 | Michael G Anderson | Social Worker | 115 Summers Hospital Rd, Hinton, WV 25951-5172 | 2013-09-10 |
| 1255525481 | Gleynora Jeane Gilbhrighde | Internal Medicine | 115 Summers Hospital Rd, Hinton, WV 25951 | 2007-08-30 |
| 1164400230 | Ajay Anand | Internal Medicine | 115 Summers Hospital Rd, Hinton, WV 25951-5172 | 2006-01-09 |
| 1497746416 | Sharif S Shammaa | Physician Assistant | 115 Summers Hospital Rd, Hinton, WV 25951 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107532 | Alexis Lee Richmond | Technician | 130 Lexis Ln, Hinton, WV 25951 | 2020-09-01 |
| 1982116398 | Megan Elizabeth Billups | Massage Therapist | 218 Jackson Street, Hinton, WV 25951 | 2017-10-26 |
| 1104292317 | Connie Faye Gill | Technician | 182 Tug Creek Mountain, Hinton, WV 25951 | 2015-08-12 |
| 1841461316 | Carolyn Kay Stephens | Counselor | 104 James St., Hinton, WV 25951 | 2008-03-12 |
| 1225243702 | Summers Emergency Physicians LLC | Emergency Medicine | Summers County Arh Hospital, 1500 Terrace Street, Hinton, WV 25951 | 2007-05-10 |
| 1821145301 | Mountaineer Healthcare, Pllc | Clinic/Center | 1500 Terrace St, Hinton, WV 25951 | 2007-01-05 |
| 1932288107 | 7th Ave Clinic | Psychologist | 623 Temple St, Hinton, WV 25951 | 2006-11-06 |
| 1548357072 | Summers County Board of Health | Clinic/Center | 151 Pleasant St, Hinton, WV 25951 | 2006-10-06 |
| 1689664179 | Appalachian Regional Healthcare, Inc. | General Acute Care Hospital | 115 Summers Hospital Road, Hinton, WV 25951 | 2005-10-26 |
| 1588658736 | Appalachian Regional Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1500 Terrace Street, Hinton, WV 25951 | 2005-09-02 |
| Find all providers in zip 25951 | ||||
| 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 |
|---|---|---|---|---|
| 1912272931 | Wheeling Hospital, Inc. | Internal Medicine | 1423 Commerce St, Wellsburg, WV 26070-1320 | 2012-03-09 |
| 1558685172 | Sanaz Nicky Soltani | Internal Medicine | 2000 Foundation Way Ste 2600, Martinsburg, WV 25401-9197 | 2010-03-25 |
| 1164689618 | Hemamalini Karpurapu | Internal Medicine | 651 Colliers Way Ste 401, Weirton, WV 26062-5054 | 2008-05-21 |
| 1528267952 | Ulas Darda Bayraktar | Internal Medicine | 3825 Teays Valley Rd Ste 5, Hurricane, WV 25526-9614 | 2007-07-16 |
| 1245310366 | Wojciech Kazimierz Dolata | Internal Medicine | 801 Gorman Ave, Elkins, WV 26241-3147 | 2006-10-16 |
| 1609970136 | Mukund K Shah M D Inc | Internal Medicine | 1903 Ann St, Parkersburg, WV 26101-2504 | 2006-09-13 |
| 1073529616 | Integrated Health Care Providers, Inc. | Internal Medicine | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1215 | 2006-08-01 |
| 1588688899 | Timothy Keefe Bowers Sr. | Internal Medicine | 2008 Professional Court, Martinsburg, WV 25401 | 2006-07-27 |
| 1912976507 | Donald R Fleming Jr. | Internal Medicine | 801 Harrison Ave, Elkins, WV 26241-3607 | 2006-03-16 |
| 1942285093 | Julia Margarita Cruz | Internal Medicine | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2005-12-13 |
| Find all providers with the same taxonomy | ||||
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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.