VASANTH KUMAR BETHALA


Address: 1051 Gause Blvd, Ste 320, Slidell, LA 70458-2988
Phone: 9856417577

VASANTH KUMAR BETHALA (NPI# 1548263999) 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) 1548263999
Entity Type Individual
Full Name VASANTH KUMAR BETHALA
Credential MD
Practice Address 1051 Gause Blvd
Ste 320
Slidell
LA 70458-2988
Mailing Address 1514 Jefferson Hwy
New Orleans
LA 70121-2429
Practice Telephone 9856417577
Practice Fax Number 9856430826
Mailing Telephone 5048424000
Enumeration Date 2005-05-31
Last Update Date 2020-09-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
13115 MS Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
09114R LA Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
09114R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00110414 05
LA 1930636 05
RAILROAD MEDICARE 060018918 01

Office Location

Street Address 1051 GAUSE BLVD
STE 320
City SLIDELL
State LA
Zip Code 70458-2988

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306291455 Paige Marler Physician Assistant 1051 Gause Blvd, Suite 400, Slidell, LA 70458-2951 2016-04-26
1386990463 Dianna Waller Wadsworth Clinical Nurse Specialist 1051 Gause Blvd, Suite 380, Slidell, LA 70458-2951 2012-07-26
1760749246 Sophia Mai Dermatology 1051 Gause Blvd, #460, Slidell, LA 70458-2951 2012-04-20
1215236112 Ashton Taylor Hilton Dermatology 1051 Gause Blvd, Suite 460, Slidell, LA 70458-2951 2011-03-18
1952608119 Zhaohui Li Specialist 1051 Gause Blvd, Ste 320, Slidell, LA 70458-2951 2011-02-23
1174842520 Gregory L Groglio Md A Professional Medical Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) 1051 Gause Blvd, Suite 290, Slidell, LA 70458-2951 2010-05-25
1871752832 Administrators of The Tulane Educational Fund Specialist 1051 Gause Blvd, Slidell, LA 70458-2951 2008-06-05
1669630604 Gulf Coast Rheumatology Specialist 1051 Gause Blvd, Suite 440, Slidell, LA 70458 2008-05-27
1275659427 David F Slagle II Md Apmc Eyewear Supplier (Equipment, not the service) 1051 Gause Blvd, Suite 480, Slidell, LA 70458 2007-03-21
1861517054 David F Slagle II Md Apmc Optometrist 1051 Gause Blvd, Suite 480, Slidell, LA 70458 2007-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417588385 Rashaan Ali Duke II Peer Specialist 118 Village St, Slidell, La 70458, Slidell, LA 70458 2020-01-30
1558840447 Latasha Atkins Case Manager/Care Coordinator 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 2018-08-10
1689166324 Health and Beauty Near Me, Inc Internal Medicine 1181a Robert Blvd, Slidell, LA 70458 2018-05-30
1164922795 Chauffe Shuttles LLC Non-emergency Medical Transport (VAN) 322 Cumberland Dr., Slidell, LA 70458 2018-02-20
1427560689 Sigur Homes Inc Contractor 107 Columbia Place, Slidell, LA 70458 2017-10-27
1528584554 Jade Williams Counselor 132 West Howse Beach Rd, Slidell, LA 70458 2017-08-22
1649794801 Exquisite Medical Transportation LLC Non-emergency Medical Transport (VAN) 1 Mission Hills Dr, Slidell, LA 70458 2017-07-31
1427578665 Cathy Martin Counselor 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 2017-06-20
1184153595 Lesley Marie Achary Physician Assistant 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 2017-06-08
1376077057 Spano Pt LLC Physical Therapist 1290 Front St, Slidell, LA 70458 2017-04-19
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790765394 Jose Antonio Silva Internal Medicine 2750 East Gause Blvd, Slidell, LA 70461-4149 2006-01-19
1023288792 William Bennett Internal Medicine 1850 Gause Blvd E, Suite 202, Slidell, LA 70461-5442 2008-03-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639633274 Posina Enterprises LLC Internal Medicine 5911 Settlers Dr, Alexandria, LA 71303-6007 2019-01-28
1235638321 Cardiac and Peripheral Vascular Services, LLC Internal Medicine 8050 W Judge Perez Dr Ste 2800, Chalmette, LA 70043-1740 2018-02-05
1629576996 Cardiac Cin of Louisiana LLC Internal Medicine 3436 Magazine St Ste 550, New Orleans, LA 70115-2413 2018-01-31
1275031544 Cardiac Cin of Baton Rouge LLC Internal Medicine 9655 Perkins Rd Ste C-220, Baton Rouge, LA 70810-1533 2018-01-31
1720423478 Lafayette Cardiovascular Center of Excellence,llc Internal Medicine 318 Guilbeau Rd, Lafayette, LA 70506-6914 2013-05-08
1073820676 Nurtured Heart, LLC Internal Medicine 324 Settlers Trace Blvd, Lafayette, LA 70508-6060 2010-09-03
1063724326 Nayan Agarwal Internal Medicine 6550 Main St Ste 1000, Zachary, LA 70791-4092 2010-07-02
1164665477 Salil Sethi Internal Medicine 3311 Prescott Rd Ste 112, Alexandria, LA 71301-3917 2009-04-16
1265687503 Syed Bilal Akhtar Rizvi Internal Medicine 501 Medical Center Dr Ste 250, Alexandria, LA 71301-8124 2008-12-01
1972714889 Sai Konduru Internal Medicine 2727 Hearne Ave Ste 301, Shreveport, LA 71103-3918 2007-05-24
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Competitor

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City SLIDELL
Zip Code 70458

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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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