DR. PRADEEP REDDY THODIMA (NPI# 1720376197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720376197 |
| Entity Type | Individual |
| Full Name | DR. PRADEEP REDDY THODIMA |
| Credential | MD |
| Practice Address |
1200 N Jefferson St Albany GA 31701-2057 |
| Practice Telephone | 2298883970 |
| Practice Fax Number | 2298887771 |
| Mailing Telephone | 2298883970 |
| Mailing Fax Number | 2298887771 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
077321 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1200 N JEFFERSON ST |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043218878 | John A Dennis | Physician Assistant | 1200 N Jefferson St, Albany, GA 31701-2057 | 2005-07-14 |
| 1952860959 | Annie Mae Walker | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2019-03-19 |
| 1669853677 | Salim Bou Slaiman | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2015-06-16 |
| 1720343783 | Avantika Chenna | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2012-07-05 |
| 1023334828 | Shivakanth Burugu | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2010-04-19 |
| 1104015569 | Southwest Ga. Nephrology Clinic, P.C. | Specialist | 1200 N Jefferson St, Albany, GA 31701-2057 | 2007-10-22 |
| 1083734982 | Mufaddal F Kheda | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2007-04-02 |
| 1669589339 | Carl A Scarbrough | Physician Assistant | 1200 N Jefferson St, Albany, GA 31701-2057 | 2006-08-25 |
| 1144257080 | Ernest James Nelson | Physician Assistant | 1200 N Jefferson St, Albany, GA 31701-2057 | 2006-06-27 |
| 1013900349 | Hasan Abbas Rizvi | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2005-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 1063789865 | Swati Mehta | Internal Medicine | 2 Beaver Pond Rd, Albany, NY 12211-1402 | 2011-11-22 |
| 1922000611 | James Fletcher Horn | Internal Medicine | 62 Hackett Blvd, Albany, NY 12209-1718 | 2005-08-11 |
| 1952860959 | Annie Mae Walker | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2019-03-19 |
| 1669853677 | Salim Bou Slaiman | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2015-06-16 |
| 1861730855 | Lifeline Vascular Center - Albany, LLC | Internal Medicine | 2300 Dawson Rd, Suite, Albany, GA 31707-2803 | 2013-01-25 |
| 1720343783 | Avantika Chenna | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2012-07-05 |
| 1700145786 | Albany General Hospital | Internal Medicine | 1086 7th Ave Sw, Albany, OR 97321-1997 | 2012-05-10 |
| 1023334828 | Shivakanth Burugu | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2010-04-19 |
| 1912141979 | Paul Jack Der Mesropian | Internal Medicine | 113 Holland Ave, Albany Stratton Va - Division of Nephrology, Albany, NY 12208-3410 | 2009-04-21 |
| 1962603225 | Krishnakumar Hongalgi | Internal Medicine | 47 New Scotland Ave, Mc-69, Albany, NY 12208-3412 | 2007-05-31 |
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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.