SHIVAPRAKASH T KUDLAPUR (NPI# 1891780326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891780326 |
| Entity Type | Individual |
| Full Name | SHIVAPRAKASH T KUDLAPUR |
| Other Name | PRAKASH T KUDLAPUR |
| Credential | MD |
| Practice Address |
30381 Chieftain Dr Logan OH 43138-9092 |
| Mailing Address |
Po Box 188 Chillicothe OH 45601-0188 |
| Practice Telephone | 7403852555 |
| Practice Fax Number | 7403803750 |
| Mailing Telephone | 7407734366 |
| Mailing Fax Number | 7407757855 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35065974K | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EMERALD HEALTH | 311155352 | 01 | |
| CENTRAL BENEFITS | 311155352 | 01 | |
| OH | ANTHEM | 000000300069 | 01 |
| TRICARE | 311155352 | 01 | |
| E V BENEFITS | 311155352 | 01 | |
| CIGNA/CONN GENERAL | 311155352 | 01 | |
| RAILROAD MEDICARE | P00084899 | 01 | |
| PPO NEXT | 311155352 | 01 | |
| OH | 0965728 | 05 | |
| OH | OHIO HEALTH CHOICE | 311155352 | 01 |
| UNITED HEALTHCARE | 0408409 | 01 | |
| GREAT WEST | 311155352 | 01 | |
| AETNA | 311155352 | 01 |
| Street Address |
30381 CHIEFTAIN DR |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-9092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909219 | Douglas B Carr | Family Medicine | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2005-06-01 |
| 1184242836 | James Marlin Hoffer | Pharmacist | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2020-07-09 |
| 1144864869 | Leeann Kline | Pharmacy Technician | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-11-06 |
| 1215582622 | Michael Kwame Adjokatse | Behavioral Analyst | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-08-04 |
| 1962967463 | Alicia Woods | Dietitian, Registered | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-02-08 |
| 1659835791 | Samantha H Woods | Pharmacist | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-01-23 |
| 1831673268 | Lucinda Kraft | Licensed Practical Nurse | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2018-09-21 |
| 1811474547 | Kimberly Davis | Pharmacy Technician | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2018-07-25 |
| 1619462892 | Susan Hedges | Registered Nurse | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2018-06-29 |
| 1649777384 | Dava Roberts | Pharmacy Technician | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2018-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| 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 |
|---|---|---|---|---|
| 1386788917 | N B Tuanquin, M.d., Inc | Internal Medicine | 112 Bridge St, Logan, WV 25601-3602 | 2007-02-16 |
| 1740218387 | Narciso B Tuanquin | Internal Medicine | 112 Bridge Street, Logan, WV 25601 | 2006-06-30 |
| 1053348771 | Fernando Luis Gonzalez-ramos | Internal Medicine | 77 Hospital Drive, Suite 101, Logan, WV 25601-3451 | 2006-06-27 |
| 1265483580 | Jose R Villavicencio | Internal Medicine | 601 St Rt 664, Logan, OH 43138 | 2006-05-12 |
| 1114981156 | Radhakrishna Kukkillaya | Internal Medicine | 38 Hospital Dr, Logan, WV 25601-3452 | 2006-04-14 |
| 1043271869 | Stephen Christensen | Internal Medicine | 40 W 1250 North Suite 8a, Logan, UT 84341 | 2006-03-31 |
| 1578553210 | Gary Neil Stokes | Internal Medicine | 655 East 1300 North, Logan, UT 84341 | 2005-10-25 |
| 1821087610 | John A Ireton | Internal Medicine | 751 State Route 664 N Unit A, Logan, OH 43138-9250 | 2005-10-14 |
| 1649267949 | Kurt King | Internal Medicine | 412 N 200 E, Logan, UT 84321-4038 | 2005-10-02 |
| 1437517810 | Cache Internal Medicine Inc | Internal Medicine | 40 West 1250 North, Suite 8a, Logan, UT 84341 | 2016-02-01 |
| Find all providers in LOGAN | ||||
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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.