DR. KAMARAJAPURAM RAMAN DESIKAN (NPI# 1619973500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619973500 |
Entity Type | Individual |
Full Name | DR. KAMARAJAPURAM RAMAN DESIKAN |
Credential | M.D. |
Practice Address |
1710 Harrison St Batesville AR 72501-7303 |
Mailing Address |
Po Box 2197 Batesville AR 72503-2197 |
Practice Telephone | 8702621750 |
Practice Fax Number | 8702621754 |
Mailing Telephone | 8702621750 |
Mailing Fax Number | 8702621754 |
Enumeration Date | 2005-06-24 |
Last Update Date | 2019-06-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | E-0269 | AR | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E0269 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 127717001 | 05 | |
AR | LICENSE NUMBER | E0269 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1000 N University Ave, Little Rock, AR 722076347 | 5016610060 | 5016611233 |
Street Address |
1710 HARRISON ST |
City | BATESVILLE |
State | AR |
Zip Code | 72501-7303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316551799 | Lucenthia Georgette Warden | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-09-03 |
1629688247 | Gretchin Cooper | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-08-07 |
1891311270 | Chassidy Elyse Seward | Pharmacist | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-06-22 |
1437770690 | Kemuel Ezekiel Telemaque | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
1023639291 | Sara Kathryn Whyte | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
1992325773 | Omar Alkhatib | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-21 |
1386263101 | Jude-patrick Nnamdi Okafor | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-11 |
1922637131 | Steffie-ann Orlene Dujon | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-08 |
1558990952 | Soubhi Alhayek | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-07 |
1366071714 | Sean Anro Navarro Salonga | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
Find all providers in zip 72501 |
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 |
---|---|---|---|---|
1528062353 | Oncology Hematology Care, Inc. | Internal Medicine | 1214 State Road 229, Batesville, IN 47006-8701 | 2005-06-09 |
1760779607 | White River Health System, Inc. | Internal Medicine | 1710 Harrison St, Batesville, AR 72501-7303 | 2011-06-29 |
1871708537 | St. Francis Hospital and Health Centers | Internal Medicine | 321 Mitchell Ave, Batesville, IN 47006-8909 | 2007-05-14 |
1336249101 | Dwight List Mckee | Internal Medicine | 267 E Main St, Batesville, AR 72501-5512 | 2006-09-22 |
1245341395 | American Health Network of Indiana, LLC | Internal Medicine | 321 Mitchell Ave, Batesville, IN 47006-8909 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356729016 | Oasis Healthcare Corporation | Internal Medicine | 112 Sezanne Ct, Little Rock, AR 72223-5095 | 2015-05-14 |
1487053484 | Faith E Davies | Internal Medicine | 4301 W.markham Street, Mail Slot 816, Little Rock, AR 72205-7199 | 2014-08-15 |
1942516182 | Carolina D Schinke | Internal Medicine | 4301 W Markham St # 816, Little Rock, AR 72205-7101 | 2010-08-25 |
1093986358 | South Arkansas Hematology & Oncology Clinic Pa | Internal Medicine | 1716 Doctor Dr., Pine Bluff, AR 71603-6367 | 2008-03-14 |
1548317340 | Lynsay Leighanne Brautnick | Internal Medicine | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2007-01-04 |
1629175922 | Manjusha Kota | Internal Medicine | 180 Medical Park Pl Ste 201, Hot Springs, AR 71901 | 2006-09-20 |
1063526614 | Abid Mohiuddin | Internal Medicine | 7200 S. Hazel, Arkansas Cancer Institute, Pine Bluff, AR 71603-7836 | 2006-08-19 |
1871607770 | Ahmad Mazen Safar | Internal Medicine | 805 Loyola Dr, Little Rock, AR 72211-5520 | 2006-08-18 |
1447298195 | Frank J Panettiere | Internal Medicine | 1002 S 19th St, Rogers, AR 72758-4904 | 2006-06-03 |
1700846045 | David A Nixon | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-23 |
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City | BATESVILLE |
Zip Code | 72501 |
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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.