DR. RAVI KOTHURU (NPI# 1649227794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649227794 |
| Entity Type | Individual |
| Full Name | DR. RAVI KOTHURU |
| Credential | M.D. |
| Practice Address |
9413 Flatlands Ave Suite 002 East Brooklyn NY 11236-3726 |
| Practice Telephone | 7182577770 |
| Practice Fax Number | 7182577550 |
| Mailing Telephone | 7182577770 |
| Mailing Fax Number | 7182577550 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 223921 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02362307 | 05 |
| Street Address |
9413 FLATLANDS AVE SUITE 002 EAST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11236-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819919 | Koorosh Shamtoub | Dentist | 9413 Flatlands Ave, Ste 102w, Brooklyn, NY 11236-3707 | 2005-11-28 |
| 1215421052 | Sabrina Jean Baptiste | Counselor | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2018-06-15 |
| 1609381102 | Levi Rapoport | Counselor | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2017-12-06 |
| 1487174504 | Shamaine Andrea Francis | Social Worker | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2017-06-20 |
| 1043769300 | New York Medical Practice, PC | Clinic/Center | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2016-09-28 |
| 1962856401 | Rosell Billingy | Social Worker | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2016-04-21 |
| 1417318205 | Tricha Menelas | Social Worker | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2016-03-08 |
| 1699145334 | James Ervin Young | Nurse Practitioner | 9413 Flatlands Ave, Suite 101w, Brooklyn, NY 11236-3726 | 2015-10-06 |
| 1821474255 | Care Physical Therapy, P.c | Physical Therapist | 9413 Flatlands Ave, Suite 1w, Brooklyn, NY 11236-3726 | 2015-08-07 |
| 1619378791 | University Physicians of Brooklyn, Inc. | Orthopaedic Surgery | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2014-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1659996080 | Elina Fils Aime | Licensed Practical Nurse | 8 Parter Gate 15, Brooklyn, NY 11236 | 2020-06-11 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1073151544 | Belinda Clesidor | Registered Nurse | 1200 E 5519 St, Brooklyn, NY 11236 | 2019-12-16 |
| 1154898880 | Shanice A Mcghie | Licensed Practical Nurse | 718 East 84th Street, Brooklyn, NY 11236 | 2018-10-31 |
| 1891286241 | Casandra Christine Gibbs | Licensed Practical Nurse | 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 | 2018-05-22 |
| 1942707161 | Suzette Rebecca Ryan | Registered Nurse | 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 | 2018-04-13 |
| 1275045395 | Danica Noel-sylvester | Nurse Practitioner | 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 | 2017-10-30 |
| Find all providers in zip 11236 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205279031 | Momentum Medical Services, PC. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9323 Shore Road, Suite # 4l, Brooklyn, NY 11209-6640 | 2013-04-11 |
| 1730499898 | Ardeshir Hakami-kermani | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3131 Kings Highway, Suite A7, Brooklyn, NY 11234 | 2010-10-07 |
| 1114035029 | Choon S Shin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2525 Kwgs Highway, Brooklyn, NY 11229 | 2006-08-29 |
| 1700893393 | Sean Yetman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2511 Ocean Ave Ste 102, Brooklyn, NY 11229-3957 | 2006-08-03 |
| 1033157169 | Michael C Banker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2965 Ocean Pkwy Ste 200, Brooklyn, NY 11235-8014 | 2006-06-02 |
| 1619954435 | Gregory R. Brevetti | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8318 4th Ave, Brooklyn, NY 11209-4413 | 2005-12-22 |
| 1043293798 | Lev Mark Khitin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 406 15th St, Brooklyn, NY 11215-6054 | 2005-11-28 |
| 1851382089 | Adam E Saltman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1366 E 32nd St, Brooklyn, NY 11210-5418 | 2005-11-05 |
| 1023002060 | Zvi Zisbrod | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Avenue U, Brooklyn, NY 11223-3858 | 2005-09-06 |
| 1962027078 | Gregory Brevetti, M.d, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8318 4th Ave, Brooklyn, NY 11209-4413 | 2020-06-15 |
| Find all providers in BROOKLYN | ||||
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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.