DR. BHAVANI CHOUDARY SURYADEVARA (NPI# 1710211578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710211578 |
| Entity Type | Individual |
| Full Name | DR. BHAVANI CHOUDARY SURYADEVARA |
| Credential | M.D. |
| Practice Address |
311 West 14th Street Pueblo CO 81003-2710 |
| Mailing Address |
Po Box 560825 Denver CO 80256-0825 |
| Practice Telephone | 7195957585 |
| Practice Fax Number | 7195957589 |
| Mailing Telephone | 7195957580 |
| Mailing Fax Number | 7195450176 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 52980 | CO | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 52980 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 57137285 | 05 |
| Street Address |
311 WEST 14TH STREET |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372320 | Douglas Floyd Duffee | Internal Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2005-11-10 |
| 1104462597 | Parkview Ancillary Services | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2019-11-21 |
| 1740790708 | Bobbi Michelle Hall | Nurse Practitioner | 311 West 14th Street, Pueblo, CO 81003 | 2017-10-04 |
| 1811438393 | Lena Bazhenova | Internal Medicine | 311 West 14th Street, Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2017-03-16 |
| 1558775049 | Stephanie Murphy | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2014-06-12 |
| 1275954927 | Geepress Corpuz | Internal Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2013-12-25 |
| 1932547130 | Kayleigh Ann Zerr | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2013-06-10 |
| 1346276342 | Jay A Richter | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2006-06-23 |
| 1366406027 | Andrew W. Kamell | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1699200535 | Nida Firdous | Internal Medicine | 400 W 16th St # 105, Pueblo, CO 81003-2781 | 2017-04-28 |
| 1134653876 | Logan Reimer | Internal Medicine | 2511 N Greenwood St, Pueblo, CO 81003-3649 | 2017-04-19 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1730507740 | Shannan Patterson | Internal Medicine | 1008 Minnequa Ave Ste 1124, Pueblo, CO 81004-3733 | 2014-04-07 |
| 1932544855 | Megan Christine Reichmuth | Internal Medicine | 1600 N Grand Ave Ste 140, Pueblo, CO 81003-2755 | 2013-05-06 |
| 1851650188 | Anh-thu Qui Nguyen | Internal Medicine | 4722 Eagleridge Circle, Pueblo, CO 81008-2120 | 2012-05-07 |
| Find all providers in PUEBLO | ||||
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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.