DR. KOTESHWAR R TELUKUNTLA (NPI# 1588667901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588667901 |
| Entity Type | Individual |
| Full Name | DR. KOTESHWAR R TELUKUNTLA |
| Credential | MD |
| Practice Address |
401 Manatee Ave E Ste B Bradenton FL 34208-1143 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
| Practice Telephone | 9417482217 |
| Practice Fax Number | 9417485300 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2010-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME72534 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 259061100 | 05 | |
| FL | RR MEDICARE | P00387326 | 01 |
| Street Address |
401 MANATEE AVE E STE B |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879022 | Yallappa Nadiminti | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2005-05-31 |
| 1437461886 | Florida Cancer Physicians Network LLC | Radiology | 401 Manatee Ave E, Bradenton, FL 34208-1143 | 2010-07-13 |
| 1235333964 | Radiation Oncology Services of Manatee | Radiology | 401 Manatee Ave E, Bradenton, FL 34208-1143 | 2007-06-14 |
| 1003972555 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2006-12-29 |
| 1275638652 | Radiation Oncology Centers of Southwest Florida, LLC | Radiology | 401 Manatee Ave E, Bradenton, FL 34208-1143 | 2006-09-13 |
| 1083722789 | Radiation Oncology Centers of Southwest Florida LLC | Radiology | 401 Manatee Ave E, Bradenton, FL 34208-1143 | 2006-08-25 |
| 1659338754 | Y Nadiminti Md Pa | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2006-05-01 |
| 1740247576 | Oncology Hematology Associates Pa | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2006-04-26 |
| 1720053820 | Ch Amar Inalsingh I | Radiology | 401 Manatee Ave E, Suite A, Bradenton, FL 34208-1143 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| 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 |
|---|---|---|---|---|
| 1922286822 | Florida Medical Specialists LLC | Internal Medicine | 4351 Cortez Rd W Ste 100, Bradenton, FL 34210-3215 | 2008-02-04 |
| 1902897523 | Paul R. Landry | Internal Medicine | 2911 Riverview Blvd, Bradenton, FL 34205-3418 | 2005-11-02 |
| 1912994971 | Nandagopal S Vrindavanam | Internal Medicine | 6555 Cortez Rd W, Bradenton, FL 34210-2608 | 2005-10-04 |
| 1609879022 | Yallappa Nadiminti | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2005-05-31 |
| 1295175883 | Kathryn Bower | Internal Medicine | 4351 Cortez Rd W Ste 100, Bradenton, FL 34210-3215 | 2013-06-27 |
| 1841507738 | Florida Medical Specialists LLC | Internal Medicine | 200 3rd Ave W, Suite 100, Bradenton, FL 34205-8626 | 2010-09-13 |
| 1265672018 | Ana Maria Van Der Wall | Internal Medicine | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2009-03-05 |
| 1659338754 | Y Nadiminti Md Pa | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2006-05-01 |
| 1740247576 | Oncology Hematology Associates Pa | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| 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.