AZARIAH KIRUBAKARAN (NPI# 1629051875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629051875 |
Entity Type | Individual |
Full Name | AZARIAH KIRUBAKARAN |
Credential | M.D. |
Practice Address |
110 N 29th St Suite 301 Norfolk NE 68701-4424 |
Practice Telephone | 4028448284 |
Practice Fax Number | 4028448175 |
Mailing Telephone | 4028448284 |
Mailing Fax Number | 4028448175 |
Enumeration Date | 2005-11-22 |
Last Update Date | 2014-01-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
19355 | NE | Allopathic & Osteopathic Physicians |
Street Address |
110 N 29TH ST SUITE 301 |
City | NORFOLK |
State | NE |
Zip Code | 68701-4424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003459728 | Michaela Joanne Mohr | Nurse Practitioner | 110 N 29th St, Norfolk, NE 68701-4424 | 2019-10-25 |
1255723268 | Brooke Sherbeck | Registered Nurse | 110 N 29th St, Suite # 201, Norfolk, NE 68701-4424 | 2015-02-27 |
1386994325 | Stacy K Nelson | Nurse Practitioner | 110 N 29th St, Suite 201, Norfolk, NE 68701-4424 | 2012-09-18 |
1053671958 | Brenda M Liermann | Nurse Practitioner | 110 N 29th St, Suite 302, Norfolk, NE 68701-4424 | 2012-05-24 |
1346527066 | Katherine Anne Moreno | Nurse Practitioner | 110 N 29th St, Suite 301, Norfolk, NE 68701-4424 | 2011-11-09 |
1780903476 | Diane C Meyer | Nurse Practitioner | 110 N 29th St, Ste 201, Norfolk, NE 68701-4424 | 2010-05-20 |
1265662688 | Sandhya Ventrapragada | Internal Medicine | 110 N 29th St, Suite - 303, Norfolk, NE 68701-4424 | 2009-07-20 |
1023242583 | Hadi Zahra | Radiology | 110 N 29th St, Suite 101, Norfolk, NE 68701-4424 | 2009-05-12 |
1952574592 | Wajahat Khalil | Internal Medicine | 110 N 29th St, Suite 204, Norfolk, NE 68701-4424 | 2008-04-03 |
1043488844 | Rabih C Fahed | Internal Medicine | 110 N 29th St, Suite 101, Norfolk, NE 68701-4424 | 2008-02-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
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Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] 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. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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1730449059 | Sentara Medical Group | Internal Medicine | 600 Gresham Dr, Ste 8610, Norfolk, VA 23507-1904 | 2012-05-21 |
1821358144 | Sentara Medical Group | Internal Medicine | 301 Riverview Ave, Ste 700, Norfolk, VA 23510-1065 | 2012-05-21 |
1457610081 | Sentara Medical Group | Internal Medicine | 844 Kempsville Rd, Ste 204, Norfolk, VA 23502-3927 | 2012-05-16 |
1407083538 | Sentara Medical Group | Internal Medicine | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
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1942709910 | Cardiac Cin of Omaha LLC | Internal Medicine | 4611 S 96th St Ste 254, Omaha, NE 68127 | 2018-02-06 |
1629089164 | Ahmed C.k. Kutty | Internal Medicine | 3015 Ave A, Kearney, NE 68847-3525 | 2006-08-10 |
1669483459 | Midlands Cardiology Group, PC | Internal Medicine | 3015 Avenue A, Kearney, NE 68847-3525 | 2006-08-10 |
1831119841 | Vishwajeth B Bhoopalam | Internal Medicine | 6940 Van Dorn St Ste 201, Lincoln, NE 68506 | 2006-07-20 |
1013997741 | Haysam Akkad | Internal Medicine | 4239 Farnam St, #100, Omaha, NE 68131-2868 | 2006-01-19 |
1710979950 | Sean Denney | Internal Medicine | 3219 Central Ave, Kearney, NE 68847-2949 | 2005-08-15 |
1942762034 | Cne Care of Ne, LLC | Internal Medicine | 4611 S 96th St, Omaha, NE 68127-1202 | 2019-04-05 |
1215281662 | Not Used | Internal Medicine | 3219 Central Ave, Ste 106, Kearney, NE 68847-2949 | 2012-11-07 |
1952661654 | Central Nebraska Cardiology | Internal Medicine | 3219 Central Ave, Suite 107, Kearney, NE 68847-2949 | 2012-05-29 |
1679872816 | Zachary M Singsank | Internal Medicine | 1600 S 48th St Ste 600, Lincoln, NE 68506 | 2011-03-26 |
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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.