CHRISTOPHER T MALLAVARAPU (NPI# 1649273715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649273715 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER T MALLAVARAPU |
| Credential | MD |
| Practice Address |
515 Main St Olean NY 14760-1513 |
| Mailing Address |
5000 Ambassador Caffery Pkwy Province Building 1 Lafayette LA 70508-6984 |
| Practice Telephone | 7163732600 |
| Mailing Telephone | 3372610928 |
| Mailing Fax Number | 3372337773 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
183914 | NY | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
183914 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01365920 | 05 | |
| NY | FIDELIS | 130730000068 | 01 |
| NY | EMBLEM HEALTH | 3997380 | 01 |
| Street Address |
515 MAIN ST |
| City | OLEAN |
| State | NY |
| Zip Code | 14760-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306463724 | Danielle Barkhouse | Dietitian, Registered | 515 Main St, Olean, NY 14760-1513 | 2020-07-01 |
| 1255957320 | Cathy Ann Wells | Nurse Practitioner | 515 Main St, Olean, NY 14760-1598 | 2020-06-24 |
| 1700426418 | Olean General Hospital | Psychiatric Unit | 515 Main St, Olean, NY 14760-1513 | 2020-01-10 |
| 1932748407 | Cailyn E Hobson | Occupational Therapist | 515 Main St, Olean, NY 14760-1598 | 2020-01-02 |
| 1003479916 | Kristen Lynn Paler | Speech-Language Pathologist | 515 Main St, Olean, NY 14760-1598 | 2019-04-16 |
| 1831653005 | Lilleigh Stein | Nurse Anesthetist, Certified Registered | 515 Main St, Olean, NY 14760-1513 | 2019-01-22 |
| 1427530039 | Danielle Marie Decasper | Occupational Therapy Assistant | 515 Main St, Olean, NY 14760-1513 | 2018-08-30 |
| 1700371838 | Ashley Nicole Hanchett | Physician Assistant | 515 Main St, Olean, NY 14760-1513 | 2018-07-01 |
| 1003303405 | Jad Dughayli | Anesthesiology | 515 Main St, Olean, NY 14760-1513 | 2018-04-20 |
| 1205338613 | Beth Ann Porter | Nurse Practitioner | 515 Main St, Olean, NY 14760-1513 | 2018-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265880 | Hussein Elattar | Anesthesiology | 515 Main St., Olean, NY 14760 | 2018-12-03 |
| 1679956460 | Ca Boces | Day Training, Developmentally Disabled Services | 1626 Washington St., Olean, NY 14760 | 2015-06-30 |
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1205264603 | Joseph Patrick Bohan | Urology | 2110 Dugan Rd, Joseph P Bohan Md, Olean, NY 14760 | 2013-10-22 |
| 1205181062 | Sarah Catherine Lyons | Registered Nurse | 1620 Washington Street, Olean, NY 14760 | 2012-07-18 |
| 1528355237 | Judy B. Luensman | Speech-Language Pathologist | 1825 Windfall Road, Boces Center At Olean, Olean, NY 14760 | 2011-07-01 |
| 1053619395 | Tracy A Giardini | Physical Therapist | 1626 Washington Street, Washington West School, Olean, NY 14760 | 2011-03-10 |
| 1154557007 | Aditi A. Parikh | Dentist | 3018 Ny Route 417, Olean, NY 14760 | 2009-06-05 |
| 1336396688 | Ashley Norell Bartz | Physician Assistant | 2646 West State Street, Suite 405, Olean, NY 14760 | 2008-08-19 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1538168778 | Henry D Storch | Internal Medicine | 135 N Union St, Olean, NY 14760-2736 | 2005-07-19 |
| 1407017940 | Matthew R. Cox | Internal Medicine | 535 Main St, Olean, NY 14760 | 2008-06-18 |
| 1265431332 | Ashokkumar J Kothari | Internal Medicine | 2223 W State St, Suite 120, Olean, NY 14760-1938 | 2005-07-20 |
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|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
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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.