DR. PRAKASH GOUTHAM BELEYUR SURYANARAYANA (NPI# 1710174172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710174172 |
Entity Type | Individual |
Full Name | DR. PRAKASH GOUTHAM BELEYUR SURYANARAYANA |
Credential | MD |
Practice Address |
106 Milford St Ste 605 Salisbury MD 21804-6938 |
Mailing Address |
106 Milford St Ste 605 Salisbury MD 21804-6938 |
Practice Telephone | 3478662011 |
Mailing Telephone | 3478662011 |
Enumeration Date | 2007-10-01 |
Last Update Date | 2020-05-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
D88499 | MD | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2800 E Ajo Way, Tucson, AZ 857136204 | 5208743278 |
Street Address |
106 MILFORD ST STE 605 |
City | SALISBURY |
State | MD |
Zip Code | 21804-6938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518313311 | Terry Angell | Nurse Practitioner | 106 Milford St Ste 605, Salisbury, MD 21804-6938 | 2016-05-11 |
1407251259 | Angela G Korb | Physician Assistant | 106 Milford St Ste 605, Salisbury, MD 21804-6938 | 2014-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
Find all providers in zip 21804 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
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 |
---|---|---|---|---|
1518902212 | Bulent R Zaim | Internal Medicine | 1204 West St, Annapolis, MD 21401-3610 | 2006-06-17 |
1487118048 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-01-29 |
1528411253 | Scott D. Shapiro M.d., Ph.d., LLC | Internal Medicine | 5530 Wisconsin Ave, Suite 711, Chevy Chase, MD 20815-4404 | 2016-07-18 |
1952736886 | Lifebridge Community Physicians Inc | Internal Medicine | 2411 W Belvedere Ave, Suite 401, Baltimore, MD 21215-5228 | 2013-09-11 |
1295168789 | Baltimore Arrhythmia Consultants Pa | Internal Medicine | 600 Reisterstown Rd, Suite 301, Pikesville, MD 21208-5104 | 2013-08-20 |
1649553942 | Arrhythmia Associates of Maryland | Internal Medicine | 2000 W Baltimore St, 2nd Floor, Baltimore, MD 21223-1558 | 2011-09-22 |
1174815807 | Lifebridge Community Physicians, Inc | Internal Medicine | 1838 Greene Tree Rd, Suite 535, Pikesville, MD 21208-6391 | 2011-05-13 |
1518269554 | Chesapeake Cardiovascular Specialists PC | Internal Medicine | 128 Lubrano Dr, Suite 201, Annapolis, MD 21401-7028 | 2010-11-24 |
1669774808 | Heart Rhythm Specialists | Internal Medicine | 7501 Surratts Rd, 208a, Clinton, MD 20735-3362 | 2010-11-19 |
1891006300 | Aditya Saini | Internal Medicine | 3333 N Calvert St, Baltimore, MD 21218 | 2010-06-30 |
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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.