KOPRESH GUDI


Address: 151 Islington St, Staten Island, NY 10308-1616
Phone: 9525951100

KOPRESH GUDI (NPI# 1851406334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851406334
Entity Type Individual
Full Name KOPRESH GUDI
Credential MD
Practice Address 151 Islington St
Staten Island
NY 10308-1616
Mailing Address 11995 Singletree Ln
Ste 500
Eden Prairie
MN 55344-5347
Practice Telephone 9525951100
Practice Fax Number 6122944903
Mailing Telephone 9525951301
Mailing Fax Number 6122944903
Enumeration Date 2006-08-21
Last Update Date 2015-08-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
169841 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 151 ISLINGTON ST
City STATEN ISLAND
State NY
Zip Code 10308-1616

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1881991867 Markella Zannikos Speech-Language Pathologist 423 Corbin Avenue, Staten Island, NY 10308 2011-02-28
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

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1649793142 Olympia Services Inc Radiology 1913 Olympia Blvd., Staten Island, NY 10306 2017-07-18
1730320508 Leonid Lempert Radiology 60 Kingsbridge Ave, Staten Island, NY 10314-7217 2009-03-09
1639215049 Steve Sharon, Md PC Radiology 345 Seaview Ave, Staten Island, NY 10305-2244 2007-01-30
1619987088 Harshad Parekh Radiology 399 Ocean Ter, Staten Island, NY 10301-4519 2006-08-09
1356355127 Charles J Demarco, PC Dba Allied Health Imaging Radiology 305 Seguine Avenue, Staten Island, NY 10309 2006-07-28
1194763672 Brook Island Medical Associates, PC Radiology 2 Seaver Ave, Staten Island, NY 10306-2606 2006-06-04
1588639553 Stand-up Mri of Staten Island, PC Radiology 2090 Hylan Blvd, Staten Island, NY 10306-3457 2006-02-22
1770080889 Rehan Ali Radiology 475 Seaview Ave, Staten Island, NY 10305-3436 2018-04-06
1740635036 Daniel Marc Eisman Radiology 475 Seaview Ave, Staten Island, NY 10305-3436 2016-04-25
1124414636 Darius Melisaratos, Md, Radiology, Pllc Radiology 345 Seaview Ave, Staten Island, NY 10305-2244 2015-04-10
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Competitor

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City STATEN ISLAND
Zip Code 10308

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Dataset Information

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.

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