HARITHA BELLAM (NPI# 1770883191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770883191 |
| Entity Type | Individual |
| Full Name | HARITHA BELLAM |
| Credential | M.D., |
| Practice Address |
5615 Deauville Ste 240 Midland TX 79706-2709 |
| Mailing Address |
2301 W Michigan Ave Midland TX 79701-5829 |
| Practice Telephone | 4322215560 |
| Mailing Telephone | 4326840941 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01069674A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
P7070 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 036.126660 | IL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000734012 | 01 |
| IN | 201037390 | 05 | |
| TX | TX MEDICARE - PREMIER | 415412YPVD | 01 |
| Street Address |
5615 DEAUVILLE STE 240 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79706-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619008141 | Joan Sybell Petalcorin | Physical Medicine & Rehabilitation | 5615 Deauville Ste 240, Midland, TX 79706-2709 | 2007-03-08 |
| 1861962391 | Challis Madison Long | Nurse Practitioner | 5615 Deauville Ste 240, Midland, TX 79706-2709 | 2018-11-27 |
| 1578007191 | Leatha Tampke | Nurse Practitioner | 5615 Deauville Ste 240, Midland, TX 79706-3154 | 2016-12-16 |
| 1467745240 | Adenike Titilayo Esho | Internal Medicine | 5615 Deauville Ste 240, Midland, TX 79706-2709 | 2011-05-26 |
| 1174846364 | Rebecca Annette Sanchez | Physician Assistant | 5615 Deauville Ste 240, Midland, TX 79706-2709 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183988 | Sara E Valentine | Nurse Practitioner | 4815 Ih-20 Bl W, Midland, TX 79706 | 2020-01-11 |
| 1508407958 | Vanessa Vazquez | Licensed Practical Nurse | 7701 Wcr 116 Sp63, Midland, TX 79706 | 2019-10-07 |
| 1316420060 | Sandra Carbajal | Licensed Practical Nurse | 2914 Scr 1193, Midland, TX 79706 | 2018-09-10 |
| 1184106429 | Guadalupe Linda Martinez | Registered Nurse | 3103 South County Road 1197, Midland, TX 79706 | 2018-09-04 |
| 1154821999 | Rebecca Gail Hildebrand | Licensed Vocational Nurse | 7701 Wcr 116 #83, Midland, TX 79706 | 2018-02-19 |
| 1174993927 | H-e-b, Lp | Clinical Medical Laboratory | 5407 Andrews Hwy, Midland, TX 79706 | 2015-10-05 |
| 1366623803 | Roddy Strobel Mdpa | Psychiatry & Neurology | 3300 S. Fm 1788, Suite 403, Odessa, TX 79706 | 2007-11-26 |
| 1043270085 | Franklin J Dzida | Orthopaedic Surgery | 5615 Deauville Blvd, Ste 220, Midland, TX 79706 | 2006-03-24 |
| 1114996048 | Stephanie Ann Schoen-orr | Counselor | 10008 Pilot Ave, Midland, TX 79706 | 2006-03-14 |
| 1790770402 | Gerardo Escobedo | Ophthalmology | 10100 Loop 40 West, Midland, TX 79706 | 2005-09-19 |
| Find all providers in zip 79706 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1346348919 | Bal Krishna Khandelwal | Internal Medicine | 2301 W. Michigan, Midland, TX 79701-5829 | 2006-09-20 |
| 1477650513 | B.k. Khandelwal M.d Associates | Internal Medicine | 2301 W Michigan Ave, Midland, TX 79701-5829 | 2006-09-20 |
| 1225022387 | Carlos Diola | Internal Medicine | 4401 N Campus Ridge Dr, Ste C2100, Midland, MI 48640-6112 | 2005-09-06 |
| 1457425662 | Harris Weaver | Internal Medicine | 4401 N Campus Ridge Dr, Suite D2050, Midland, MI 48640-6112 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335648 | Stelis, Pllc | Internal Medicine | 630 Lakewood Dr, Allen, TX 75002-4700 | 2020-04-23 |
| 1326605924 | Rheumatology of The Woodlands Pllc | Internal Medicine | 9201 Pinecroft Dr Ste 285, Shenandoah, TX 77380-3888 | 2019-05-20 |
| 1720541410 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3218, Texarkana, TX 75503-9766 | 2019-04-09 |
| 1295293108 | Ryan Hall | Internal Medicine | 1340 Wonder World Dr Ste 2203, San Marcos, TX 78666-7791 | 2019-03-10 |
| 1386123461 | Physicians Choice Infusion Clinic Pllc | Internal Medicine | 2700 Tibbets Dr # 301-1, Bedford, TX 76022-5928 | 2018-08-09 |
| 1811483803 | Memorial Advanced Rheumatology Inc | Internal Medicine | 902 Frostwood Dr Ste 208, Houston, TX 77024-2426 | 2018-07-02 |
| 1952812109 | Mpp Infusion Center of Tyler LLC | Internal Medicine | 6115 New Copeland Rd Ste 120.130, Tyler, TX 75703-6369 | 2017-10-16 |
| 1619347671 | Rheumatology Care of North Houston, Pllc | Internal Medicine | 13325 Hargrave Rd Ste 230, Houston, TX 77070-4540 | 2015-10-03 |
| 1083097620 | Advanced Infusions, Pa | Internal Medicine | 11233 Shadow Creek Parkway, Suite 123, Pearland, TX 77584-7345 | 2015-07-01 |
| 1982081915 | Kanika Monga | Internal Medicine | 4191 Bellaire Blvd Ste 250, Houston, TX 77025-1003 | 2015-04-28 |
| Find all providers with the same taxonomy | ||||
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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.