DR. CUDDALORE P VASUDEVAN (NPI# 1619082690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619082690 |
| Entity Type | Individual |
| Full Name | DR. CUDDALORE P VASUDEVAN |
| Credential | M. D. |
| Practice Address |
508 New Hope Rd Ste 7 Princeton WV 24740 |
| Mailing Address |
118 12th Street Ext Princeton WV 24740-2352 |
| Practice Telephone | 3044250403 |
| Mailing Telephone | 3044315168 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
13193 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0084303000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 608 New Hope Rd Ste 2, Quailvalley Medical Center, Princeton, WV 247402287 | 3044250403 | 3044250405 |
| Street Address |
508 NEW HOPE RD STE 7 |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689636821 | William A Merva | Psychiatry & Neurology | 508 New Hope Rd Ste 7, Princeton, WV 24740-2265 | 2006-04-04 |
| 1215042593 | Gordon F Prescott | Specialist | 508 New Hope Rd Ste 7, Princeton, WV 24740 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1629292842 | Princeton Pulmonary Associates PC | Internal Medicine | 15 Bouvant Dr, Princeton, NJ 08540-1208 | 2007-04-11 |
| 1265400865 | Vishnu A Patel | Internal Medicine | 1155 Mercer St, Princeton, WV 24740-3029 | 2006-03-09 |
| 1902084072 | Lung Disease and Sleep Disorders Inc. | Internal Medicine | 1155 Mercer St, Princeton, WV 24740-3029 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427549039 | United Hospital Center, Inc. | Internal Medicine | 1370 Johnson Ave Ste 201, Bridgeport, WV 26330-1378 | 2018-05-21 |
| 1447400759 | Peter H Abbrecht | Internal Medicine | 1352 Steamboat Run Rd, Shepherdstown, WV 25443-4005 | 2008-09-23 |
| 1952429706 | Michael William Blatt M D Inc | Internal Medicine | 2101 Jacob St Ste 702, Wheeling, WV 26003-3844 | 2007-03-27 |
| 1730205162 | Attila A. Lenkey, Jr. M.d. | Internal Medicine | 2101 Jacob St Ste 502, Wheeling, WV 26003-3800 | 2007-03-21 |
| 1841331105 | Houssein Abbass Youness | Internal Medicine | 41 Andalusian Dr, Unit85, Martinsburg, WV 25405-5600 | 2007-02-09 |
| 1982756094 | Mallinath Kayi | Internal Medicine | 401 Division St Ste 305, Charleston, WV 25309-1455 | 2007-01-17 |
| 1235229246 | Brijinder S Kochhar | Internal Medicine | 2950 Pennsylvania Ave, Weirton, WV 26062-3765 | 2006-10-13 |
| 1922105139 | Robert B Altmeyer M D Inc | Internal Medicine | 1131 National Road, Wheeling, WV 26003 | 2006-09-20 |
| 1275643314 | Melvin Theodore Saludes | Internal Medicine | 426 8th St Ste 305, Glen Dale, WV 26038-1451 | 2006-08-30 |
| 1548378276 | Narayana N Reddy | Internal Medicine | 800 Grand Central Mall Ste 4, Vienna, WV 26105-4100 | 2006-08-25 |
| 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.