DR. RAHUL REDDY KOLAVALA (NPI# 1730312877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730312877 |
| Entity Type | Individual |
| Full Name | DR. RAHUL REDDY KOLAVALA |
| Credential | M.D. |
| Practice Address |
3350 La Jolla Village Dr San Diego CA 92161-0002 |
| Practice Telephone | 8585528585 |
| Mailing Telephone | 8585528585 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2011-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
036.126963 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3350 LA JOLLA VILLAGE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928218 | Leslie Gwen Mcewan | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-30 |
| 1093329419 | Esther Yerim Hwang | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
| 1821602244 | Tracy Xinye Chen | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
| 1083227946 | Kayla Christine Knopp | Psychologist | 3350 La Jolla Village Dr, San Diego, CA 92161 | 2020-08-28 |
| 1609489699 | Cristina De Almeida Amaral | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-28 |
| 1528670221 | Elizabeth O'neill | Nurse Practitioner | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-24 |
| 1194335828 | David Alan Yee | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-07 |
| 1770193831 | Devon Gregory | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-04 |
| 1356950216 | Lauren F Monsanto | Optometrist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-27 |
| 1184232530 | Sean Mommerency | Physical Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721150 | Elly Hann | Family Medicine | 8285 Santa Arminta Ave, San Diego, CA 92126-1226 | 2016-10-19 |
| 1093262255 | Allergy Abatement and Relief Medical Group | Family Medicine | 4005 Caminito Terviso, San Diego, CA 92122-1991 | 2016-09-06 |
| 1629192091 | Alsay Medical Group Inc. | Family Medicine | 4440 Euclid Ave, Suite A, San Diego, CA 92115-4522 | 2007-03-19 |
| 1083639470 | George Delgado | Family Medicine | 5030 Camino De La Siesta Ste 106, San Diego, CA 92108-3117 | 2006-07-13 |
| 1073543781 | Gary Kenneth Boone | Family Medicine | 3737 Moraga Ave Ste B408, San Diego, CA 92117-5364 | 2006-07-05 |
| 1578504601 | Thomas Severin Buehner | Family Medicine | 2121 5th Avenue, Suite 202, San Diego, CA 92101-2139 | 2006-06-09 |
| 1356757603 | Adam Berk Sacks | Family Medicine | 9333 Genesee Ave Ste 200, San Diego, CA 92121-2113 | 2014-07-08 |
| 1053670596 | Robert Houghton, M.d., Inc. | Family Medicine | 1855 1st Ave, Ste. 200b, San Diego, CA 92101-2685 | 2012-05-03 |
| 1124307970 | Get Well Stay Well Medical | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2011-08-11 |
| 1871729962 | Susan K Bodtke | Family Medicine | 4311 3rd Ave, San Diego, CA 92103-1407 | 2009-06-03 |
| Find all providers in SAN DIEGO | ||||
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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.