PRASANNA KUMAR REDDY TADI (NPI# 1689962441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689962441 |
| Entity Type | Individual |
| Full Name | PRASANNA KUMAR REDDY TADI |
| Credential | M.D. |
| Practice Address |
1000 E Mountain Blvd Wilkes Barre PA 18711-0027 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5708087300 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD458144 | PA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
29725 | NE | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
LP02757 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
1000 E MOUNTAIN BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292943 | Robert A Rostock | Specialist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2005-06-02 |
| 1396342994 | Haley Stackhouse | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-10-06 |
| 1346852670 | Nicholas John Preston | Pharmacist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-08-18 |
| 1497363816 | Ashley Hine | Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-07-22 |
| 1851919971 | Chelsea Pieshefski | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-07-07 |
| 1437776150 | Alyssa M Callela | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-29 |
| 1679199848 | Gabrielle Cristina Roberts | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-23 |
| 1194341602 | Kylie Morgan Verespy | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-06-20 |
| 1346865680 | Jillian Theresa Butkiewicz | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-12 |
| 1902426711 | Belinda Sibanda | Student in an Organized Health Care Education/Training Program | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053500470 | Nada El Andary | Psychiatry & Neurology | 1000 East Mtn Blvd, Wilkes Barre, PA 18711-0027 | 2007-10-22 |
| 1497789135 | Vincent John Digiovanni | Psychiatry & Neurology | 575 E Main St, Wilkes Barre, PA 18702-6944 | 2006-07-10 |
| 1720041106 | Yu Song Kao Mdpc | Psychiatry & Neurology | 166 Hanover Street, Wilkes Barre, PA 18702-3544 | 2006-04-07 |
| 1184103764 | Holly Marie Drutarovsky | Psychiatry & Neurology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2018-08-14 |
| 1619312246 | David Leonard Ortiz | Psychiatry & Neurology | 1000 East Mtn Blvd, Wilkes Barre, PA 18711-3731 | 2013-05-09 |
| 1265799126 | Richard Edmund Byrne | Psychiatry & Neurology | 25 Church St, Wilkes Barre, PA 18702-3507 | 2012-04-17 |
| 1669767885 | Khuram Mushtaq Mian | Psychiatry & Neurology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2011-06-15 |
| 1407006653 | Birute Stewart | Psychiatry & Neurology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2008-09-24 |
| 1548435423 | Carol Ulloa | Psychiatry & Neurology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2008-04-23 |
| 1679679484 | Douglas C. Nathanson | Psychiatry & Neurology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-09-16 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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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.