DR. MADHU BUDHRAJA (NPI# 1568517456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568517456 |
| Entity Type | Individual |
| Full Name | DR. MADHU BUDHRAJA |
| Credential | MD |
| Practice Address |
11321 Interstate 30 Suite 200 Little Rock AR 72209-7040 |
| Practice Telephone | 5014557009 |
| Practice Fax Number | 5014557026 |
| Mailing Telephone | 5014557009 |
| Mailing Fax Number | 5014557026 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
R3862 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | QUALCHOICE | 15263 | 01 |
| AR | AETNA | 4395554 | 01 |
| AR | RAILROAD MEDICARE | 460000271 | 01 |
| AR | 115111001 | 05 | |
| AR | UNITED HEALTHCARE | 3320006 | 01 |
| Street Address |
11321 INTERSTATE 30 SUITE 200 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-7040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265572 | Ahmed T Abdelal | Internal Medicine | 11321 Interstate 30, Ste 308, Little Rock, AR 72209-7067 | 2005-06-16 |
| 1205362969 | Elizabeth Winningham | Nurse Practitioner | 11321 Interstate 30, Suite 101, Little Rock, AR 72209-7040 | 2017-05-02 |
| 1871959874 | Arkansas Health Group | Psychiatry & Neurology | 11321 Interstate 30, Suite 304, Little Rock, AR 72209-7040 | 2016-01-06 |
| 1851765820 | Meghan Cantlon Dixon | Dietitian, Registered | 11321 Interstate 30, Ste 100, Little Rock, AR 72209-7040 | 2015-11-13 |
| 1780076380 | Digestive Wellness Clinic, Pllc | Internal Medicine | 11321 Interstate 30, Ste. 100, Little Rock, AR 72209-7040 | 2015-02-19 |
| 1790191914 | Justin Matthew Sharpe | Nurse Practitioner | 11321 Interstate 30, Suite 101, Little Rock, AR 72209-7040 | 2014-07-08 |
| 1053609925 | Tonya Leigh Scrimshire | Case Manager/Care Coordinator | 11321 Interstate 30, Suite 104, Little Rock, AR 72209-7040 | 2011-07-13 |
| 1235426016 | Rebecca Mccutcheon | Case Manager/Care Coordinator | 11321 Interstate 30, Suite 104, Little Rock, AR 72209-7040 | 2011-06-30 |
| 1538455589 | Gloria Stevens | Case Manager/Care Coordinator | 11321 Interstate 30, Suite 104, Little Rock, AR 72209-7040 | 2011-06-28 |
| 1306131552 | Shannon Brooke Earley | Case Manager/Care Coordinator | 11321 Interstate 30, Suite 104, Little Rock, AR 72209-7040 | 2011-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1952637951 | James R Thrasher, M.d., P.a. | Internal Medicine | 11400 Huron Lane, 11400 Huron Lane, Little Rock, AR 72211-1847 | 2009-10-26 |
| 1487801056 | Archana Jarathi | Internal Medicine | 11321 I 30 Ste 200, Little Rock, AR 72209-7066 | 2008-08-26 |
| 1396854352 | Irina Lendel | Internal Medicine | 4301 W Markham St # 587, Little Rock, AR 72205-7101 | 2006-08-30 |
| 1881646180 | Richard F Griffiths | Internal Medicine | 701 N University Ave Ste 201, Little Rock, AR 72205-2936 | 2006-05-16 |
| 1306489406 | Prime Endocrinology LLC | Internal Medicine | 11321 Interstate 30 Ste 200, Little Rock, AR 72209-7066 | 2019-10-21 |
| 1902301963 | Ruth Suzanne Clemmons | Internal Medicine | 500 S University Ave Ste 615, Little Rock, AR 72205-5308 | 2018-03-29 |
| 1467838441 | Madhura Subhash Borikar | Internal Medicine | 10001 Lile Dr, Little Rock, AR 72205-6217 | 2015-08-03 |
| 1679843445 | Little Rock Endocrinology Services | Internal Medicine | 11400 Huron Lane, 11400 Huron Lane, Little Rock, AR 72211-1847 | 2012-01-10 |
| 1003133224 | Elena Ambrogini | Internal Medicine | 4301 W Markham St, # 783, Little Rock, AR 72205-7101 | 2010-04-27 |
| 1740506302 | Spyridoula Maraka | Internal Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2010-04-07 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
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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.