SANGEETA MANDAPAKA (NPI# 1932309291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932309291 |
| Entity Type | Individual |
| Full Name | SANGEETA MANDAPAKA |
| Credential | M.D. |
| Practice Address |
3100 Maccorkle Ave Se Ste 101 Charleston WV 25304-1215 |
| Mailing Address |
3200 Maccorkle Avenue Se Outpatient Care Clinic Charleston WV 25304 |
| Practice Telephone | 3043888200 |
| Practice Fax Number | 3043887010 |
| Mailing Telephone | 3043885590 |
| Mailing Fax Number | 3043888238 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
24019 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
24019 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810017834 | 05 | |
| WV | RAILROAD MEDICAR | P01108428 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Maccorkle Avenue Se, Camc Outpatient Clinics, Charleston, WV 25304 | 3043885590 | 3043888238 |
| Street Address |
3100 MACCORKLE AVE SE STE 101 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073529616 | Integrated Health Care Providers, Inc. | Internal Medicine | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1215 | 2006-08-01 |
| 1154809341 | Audra E. Praskwiecz | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1215 | 2018-07-31 |
| 1386121374 | Monica Gene Higginbotham | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1215 | 2018-07-23 |
| 1770085946 | Kaitlynn Marie Cottrill | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1215 | 2018-03-05 |
| 1821500794 | John C. Caldwell | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1215 | 2017-10-31 |
| 1205122579 | Lavinia Petruta Mitulescu | Internal Medicine | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1281 | 2011-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076334 | Mark C Bates | Internal Medicine | 2345 Chesterfield Ave, Suite 302, Charleston, WV 25304-1062 | 2005-10-07 |
| 1568455723 | Scott L Woodfield | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2005-08-23 |
| 1336632660 | Mountaineer Cardiology Pllc | Internal Medicine | 2345 Chesterfield Ave Ste 302, Charleston, WV 25304-1064 | 2018-06-12 |
| 1740569227 | Mohamed Faher Almahmoud | Internal Medicine | 169 Ashley Ave Rm 202, Charleston, SC 29425-0553 | 2011-08-15 |
| 1740502822 | Bon Secours St Francis Xavier Hospital, Inc. | Internal Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2010-02-17 |
| 1134394398 | Daniel Howard Steinberg | Internal Medicine | 25 Courtenay Dr, Art 7058 Msc 592, Charleston, SC 29425-1117 | 2008-04-28 |
| 1912044389 | Charleston Heart Specialists Pllc | Internal Medicine | 2345 Chesterfield Ave, Suite 200, Charleston, WV 25304-1062 | 2007-02-01 |
| 1508978875 | Howard James Stanton | Internal Medicine | 4315 Maccorkle Ave Se, Charleston, WV 25304-2503 | 2006-08-31 |
| 1356307318 | William Blount Ellison Jr. | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2006-04-26 |
| 1255397519 | Jeffrey Stewart Rieder | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2006-04-25 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
Please comment or provide details below to improve the information on SANGEETA MANDAPAKA.
| 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.