DR. MADHAVI RUDRARAJU (NPI# 1609803956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609803956 |
| Entity Type | Individual |
| Full Name | DR. MADHAVI RUDRARAJU |
| Credential | M.D. |
| Practice Address |
8201 Ewing Halsell Dr 2nd Floor San Antonio TX 78229-3707 |
| Mailing Address |
8109 Fredericksburg Rd Physician Practice Services San Antonio TX 78229-3311 |
| Practice Telephone | 2105758514 |
| Practice Fax Number | 2105758004 |
| Mailing Telephone | 2105758514 |
| Mailing Fax Number | 2105758004 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2017-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
N5374 | TX | Allopathic & Osteopathic Physicians |
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
N5374 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
N5374 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 219652902 | 01 |
| MEDICARE RAILROAD | P00996225 | 01 | |
| TX | BCBS | 8CJ296 | 01 |
| TX | 219652901 | 05 |
| Street Address |
8201 EWING HALSELL DR 2ND FLOOR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558328302 | Victor S Ostrower | Internal Medicine | 8201 Ewing Halsell Dr, 2nd Flr., San Antonio, TX 78229-3707 | 2006-04-26 |
| 1235742594 | Nickeya Sue Laycock | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2020-08-26 |
| 1699387654 | Assia L Phoenix | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2020-08-20 |
| 1447890447 | Jacqueline Floyd | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2020-01-08 |
| 1891264032 | Ciara Nicole Rubenstein | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2018-11-16 |
| 1649754573 | Kari Lynne Lebret-harris | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2018-09-17 |
| 1205335742 | Brittany Lauren Green | Nurse Practitioner | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2018-02-11 |
| 1164810347 | Maria Oliu | Nurse Practitioner | 8201 Ewing Halsell Dr, Second Floor, San Antonio, TX 78229-3707 | 2014-12-22 |
| 1104225911 | Katrina Irene Peterson | Nurse Practitioner | 8201 Ewing Halsell Dr, 2nd Floor, San Antonio, TX 78229-3707 | 2014-08-18 |
| 1700014313 | Kavitha Reddy Thudi | Internal Medicine | 8201 Ewing Halsell Dr, San Antonio, TX 78229-3707 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 207RT0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Transplant Hepatology |
| An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982159745 | Transplant Hepatology & Gi Pllc | Internal Medicine | 1707 Nelson Dr, Irving, TX 75038-5963 | 2016-08-22 |
| 1831452606 | Preethi Martha Reddy | Internal Medicine | 6400 Fannin St, Suite 1400, Houston, TX 77030-1521 | 2012-06-18 |
| 1275890410 | Themistoklis Kourkoumpetis | Internal Medicine | 1 Baylor Plz, Houston, TX 77030-3411 | 2012-04-12 |
| City | SAN ANTONIO |
| Zip Code | 78229 |
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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.