SUDHA KAMINENI


Address: 1840 S Stapley Dr, 101, Mesa, AZ 85204-6681
Phone: 4804648500

SUDHA KAMINENI (NPI# 1619957339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619957339
Entity Type Individual
Full Name SUDHA KAMINENI
Credential MD
Practice Address 1840 S Stapley Dr
101
Mesa
AZ 85204-6681
Practice Telephone 4804648500
Mailing Telephone 4804648500
Enumeration Date 2006-01-19
Last Update Date 2014-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 28880 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 270223 05

Office Location

Street Address 1840 S STAPLEY DR
101
City MESA
State AZ
Zip Code 85204-6681

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013909076 Cigna Health Care of Arizona Inc Pharmacy 1840 S Stapley Dr, Ste 101, Mesa, AZ 85204-6681 2005-08-16
1467924704 Kari Vosika Registered Nurse 1840 S Stapley Dr, Mesa, AZ 85204-6681 2018-12-27
1285881052 Corina Kay Grancorvitz Pharmacist 1840 S Stapley Dr, Suite 101, Mesa, AZ 85204-6681 2008-08-25
1881860021 Patricia Kao-hutt Audiologist 1840 S Stapley Dr, #101, Mesa, AZ 85204-6681 2008-05-07
1528139953 Cigna Health Care of Arizona Inc Clinic/Center 1840 S Stapley Dr, Suite 101, Mesa, AZ 85204-5015 2006-11-09
1124131248 Maureen Lee Obstetrics & Gynecology 1840 S Stapley Dr, Suite 131, Mesa, AZ 85204-6681 2006-08-15
1831151562 Jean M Moon Obstetrics & Gynecology 1840 S Stapley Dr, Suite 131, Mesa, AZ 85204-6681 2006-04-06
1720050727 Cory Anderson Family Medicine 1840 S Stapley Dr, Mesa, AZ 85204-6681 2006-02-03
1699755827 Lakshmi Naidu Pediatrics 1840 S Stapley Dr, Mesa, AZ 85204-5015 2006-01-23
1366412504 John A Kuss Family Medicine 1840 S Stapley Dr, Mesa, AZ 85204-6681 2006-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194374819 Luminations Healing Center, LLC Social Worker 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 2019-09-05
1881160356 Wanjiru Landers Student in an Organized Health Care Education/Training Program 550 S Linda Circle, Mesa, AZ 85204 2018-10-22
1649754235 Adam Desnous Specialist/Technologist 751 S Daley, Mesa, AZ 85204 2018-09-19
1982128187 Michael Anthony Jones Counselor 1107 North Gilbert Rd, Mesa, AZ 85204 2017-07-29
1295287225 Scottsdale Healthcare Corp Family Medicine 2530 W. Southern Ave, Mesa, AZ 85204 2016-10-25
1427504158 Richard White Physician Assistant 2345 E Southern Ave # 101, Mesa, AZ 85204 2016-09-01
1548716780 Pain Stop Accident Injury LLC Chiropractor 425 E 11th Ave, Mesa, AZ 85204 2016-08-28
1154704252 Glenn Taylor Lesueur Dentist 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 2015-07-07
1073932513 Naomi Devine Nurse Practitioner 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 2014-04-14
1609292531 John Kamau Counselor 1060 S Lobin Ln, Mesa, AZ 85204 2014-03-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467914853 Endeavor Mobile Medical, LLC Internal Medicine 6242 E Arbor Ave Ste 111, Mesa, AZ 85206-1309 2019-04-03
1851886329 Alfonso A Tan Md PC Internal Medicine 6844 E Brown Rd Ste 101, Mesa, AZ 85207-3758 2018-06-27
1518450568 Mhb Services Internal Medicine 1301 S Crismon Road, Mesa, AZ 85209 2018-06-13
1952849945 Platinum Internal Medicine Internal Medicine 130 S 63rd St Ste 101, Mesa, AZ 85206-1620 2017-02-09
1700235751 Iora Senior Health Inc Internal Medicine 9124 E Main St, Suite 20-21, Mesa, AZ 85207-8700 2016-06-10
1265811418 Sandra Violetta Mele Internal Medicine 1301 S. Crimson Rd, Mesa, AZ 85209-3316 2015-05-20
1619312899 Fiza Naueed Khan Internal Medicine 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 2013-05-01
1760778906 Maaz Iqbal Internal Medicine 535 E Mckellips Rd Ste 121, Mesa, AZ 85203-2527 2011-06-27
1326333733 Amy Elizabeth Daliman Internal Medicine 6116 East Arbor Avenue, Suite 112, Mesa, AZ 85206 2011-06-14
1396046413 Lifecare Hospitalists Pllc Internal Medicine 2627 N Raven, Mesa, AZ 85207-2038 2010-11-04
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Competitor

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City MESA
Zip Code 85204

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Dataset Information

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.

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