VIKRAM REDDY PENUMALLI (NPI# 1699920991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699920991 |
| Entity Type | Individual |
| Full Name | VIKRAM REDDY PENUMALLI |
| Credential | MD |
| Practice Address |
912 Third Street Suite 101 Greensboro NC 27405-6967 |
| Mailing Address |
Po Box 29568 Greensboro NC 27429-9568 |
| Practice Telephone | 3362732511 |
| Practice Fax Number | 3363700287 |
| Mailing Telephone | 3362732511 |
| Mailing Fax Number | 3363700287 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2015-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084D0003X |
Psychiatry & Neurology Specialization: Diagnostic Neuroimaging |
2010-01353 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
912 THIRD STREET SUITE 101 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892890 | Guilford Neurologic Associates, Inc. | Specialist | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-24 |
| 1528257219 | Charles R. Stewart | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-10-18 |
| 1508056680 | Yijun Yan | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-07-26 |
| 1902922073 | Nancy Carolyn Martin | Nurse Practitioner | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-03-21 |
| 1679520050 | David Russell Smith | Physician Assistant | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-05-30 |
| 1528024536 | James M. Love | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-26 |
| 1427014497 | Charles Keith Willis | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-26 |
| 1073579066 | Michael Leroy Reynolds | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-26 |
| 1972560894 | Pramod Sethi | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-26 |
| 1588620066 | Carmen Dohmeier | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 2084D0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Diagnostic Neuroimaging |
| A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
| Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770821233 | Moses Cone Affiliated Physicians, Inc. | Psychiatry & Neurology | 912 3rd St, Suite 101, Greensboro, NC 27405-6967 | 2013-01-17 |
| City | GREENSBORO |
| Zip Code | 27405 |
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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.