MEENA DEVI WUDALI (NPI# 1609134071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609134071 |
| Entity Type | Individual |
| Full Name | MEENA DEVI WUDALI |
| Credential | M.D. |
| Practice Address |
960 Johnson Ferry Rd Ste 500 Atlanta GA 30342-1631 |
| Practice Telephone | 4042570006 |
| Practice Fax Number | 4048511316 |
| Mailing Telephone | 4042570006 |
| Mailing Fax Number | 4048511316 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
073416 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
25MA08155000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003178889A | 05 |
| Street Address |
960 JOHNSON FERRY RD STE 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988445 | Paul Dennison Boyce | Specialist | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1631 | 2005-11-10 |
| 1134661713 | Stephanie Anne Vickers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-14 |
| 1104368117 | Mindy Amber Garcia | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-08 |
| 1336502624 | Marita King | Physician Assistant | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-04-04 |
| 1487035507 | Mary Rachel Cramer | Physician Assistant | 960 Johnson Ferry Rd, Suite 130, Atlanta, GA 30342-1631 | 2015-06-15 |
| 1871984971 | Julie Allers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2015-02-10 |
| 1346630613 | Johnathon Steven Nolen | Physician Assistant | 960 Johnson Ferry Rd, Suite 100, Atlanta, GA 30342-1631 | 2015-01-26 |
| 1770903486 | Richard Frady | Nurse Practitioner | 960 Johnson Ferry Rd, Ste. 500, Atlanta, GA 30342-1631 | 2014-04-21 |
| 1588093157 | Kelly Graham | Physician Assistant | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2013-11-05 |
| 1760810857 | Michael Grossman | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1457626913 | Seema S Tekwani | Internal Medicine | 49 Jesse Hill Jr Dr Se # 2c001, Division of Pulmonary and Critical Care Medicine, Atlanta, GA 30303-3049 | 2012-03-16 |
| 1033381900 | Andre Lavar Holder | Internal Medicine | 80 Jesse Hill Jr Dr Se Rm 2d012, Atlanta, GA 30303-3031 | 2008-03-31 |
| 1538380464 | Ram Mohan Subramanian | Internal Medicine | 1365 Clifton Rd Ne Bldg B-1, Atlanta, GA 30322-1059 | 2007-05-01 |
| 1619987732 | Maxwell Weinmann | Internal Medicine | 615 Michael St Ne Ste 205, Atlanta, GA 30322-6110 | 2006-08-09 |
| 1043291826 | Peter Walter Barrett | Internal Medicine | 95 Collier Road, Nw, Suite 5015, Atlanta, GA 30309 | 2005-11-09 |
| 1164848966 | Ofer Sadan | Internal Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322 | 2014-03-17 |
| 1952661969 | James Woojong Chang | Internal Medicine | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309 | 2012-05-23 |
| 1588924070 | Jacqueline Vaughn Kraft | Internal Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322 | 2012-05-18 |
| 1609132281 | Victor Tseng | Internal Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2012-04-08 |
| 1588954770 | Jonathan Jeffrey Suarez | Internal Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322 | 2011-04-09 |
| Find all providers in ATLANTA | ||||
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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.