DR. VIJAYA KUMAR GORANTLA (NPI# 1679839666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679839666 |
| Entity Type | Individual |
| Full Name | DR. VIJAYA KUMAR GORANTLA |
| Credential | M.D |
| Practice Address |
3950 New Covington Pike Ste 300 Memphis TN 38128-2593 |
| Practice Telephone | 9013825256 |
| Practice Fax Number | 9013823731 |
| Mailing Telephone | 9013825256 |
| Mailing Fax Number | 9013823731 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
59449 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
3950 NEW COVINGTON PIKE STE 300 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821299512 | Minesh Babul Pathak | Internal Medicine | 3950 New Covington Pike Ste 300, Memphis, TN 38128-2591 | 2007-05-30 |
| 1134771686 | Kristi Ford | Nurse Practitioner | 3950 New Covington Pike Ste 300, Memphis, TN 38128-2593 | 2019-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669646634 | Mark Shermer, M.d.,p.c. | Internal Medicine | 6005 Park Ave Ste 807, Memphis, TN 38119-5218 | 2008-04-21 |
| 1457536559 | Manish Talwar | Internal Medicine | 1265 Union Ave Ste 184, Memphis, TN 38104-3415 | 2008-01-08 |
| 1821299512 | Minesh Babul Pathak | Internal Medicine | 3950 New Covington Pike Ste 300, Memphis, TN 38128-2591 | 2007-05-30 |
| 1942418546 | John T. Morris, IIi, Md, PC | Internal Medicine | 780 Truse Pkwy Ste 102, Memphis, TN 38117-5361 | 2007-05-18 |
| 1689603102 | Sanjeev Kumar Mittal | Internal Medicine | 6027 Walnut Grove Rd Ste 402, Memphis, TN 38120-2129 | 2006-06-30 |
| 1497794580 | William F Owen | Internal Medicine | 62 S Dunlap St, Memphis, TN 38103-4903 | 2006-06-05 |
| 1235185315 | John Thomas Morris IIi | Internal Medicine | 7640 Wolf River Cir, 2nd Floor, Memphis, TN 38138-1744 | 2006-05-26 |
| 1285683664 | Hugh Hermes Williams | Internal Medicine | 220 S Claybrook St, Suite 314, Memphis, TN 38104-3527 | 2006-05-10 |
| 1356399117 | Zaher Al-shallah | Internal Medicine | 6027 Walnut Grove Rd Ste 405, Memphis, TN 38120 | 2006-05-04 |
| 1033176250 | Robert Bradley Canada | Internal Medicine | 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104 | 2006-05-01 |
| Find all providers in MEMPHIS | ||||
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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.