MS. ANITHA GADDAM (NPI# 1932363876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932363876 |
| Entity Type | Individual |
| Full Name | MS. ANITHA GADDAM |
| Credential | MD |
| Practice Address |
635 East Baseline Road Phoenix AZ 85042 |
| Mailing Address |
2702 North 3rd Street 4020 Phoenix AZ 85004 |
| Practice Telephone | 6022437277 |
| Practice Fax Number | 6022431235 |
| Mailing Telephone | 6023233344 |
| Mailing Fax Number | 6023233496 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2013-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 44481 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 715337 | 05 |
| Street Address |
635 EAST BASELINE ROAD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724732 | Christina L Shelley | Registered Nurse | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2005-07-15 |
| 1922376193 | Alexa Marie Diaz | Nutritionist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-12-02 |
| 1588949770 | Laverne Alfred-allen | Dental Hygienist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-10-19 |
| 1073891750 | Renee Thomas | Counselor | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-07-28 |
| 1851692594 | Ngoc Jade Hoang | Pharmacist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-11-11 |
| 1699096115 | Tamara Neshae Sumler | Nurse Practitioner | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-06-18 |
| 1356668107 | Irma Herrera-olson | Dietitian, Registered | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-05-03 |
| 1689813032 | Marilyn Yelder | Nurse Practitioner | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2009-02-09 |
| 1891959896 | Karen Sheri Grayberg | Registered Nurse | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2008-07-18 |
| 1366503245 | Daniel Brower | Pharmacist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| 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 |
|---|---|---|---|---|
| 1902415011 | Aims-az-med, LLC | Internal Medicine | 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-07-24 |
| 1245865096 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 | 2020-03-11 |
| 1114576162 | Caring Doctor LLC | Internal Medicine | 27412 N 58th Ln, Phoenix, AZ 85083-7394 | 2019-09-11 |
| 1417500034 | Contrast Medical Pllc | Internal Medicine | 813 E Fairmount Ave, Phoenix, AZ 85014-4708 | 2019-07-23 |
| 1386106045 | Key Medical Solutions LLC | Internal Medicine | 1120 E Waltann Ln, Phoenix, AZ 85022-3531 | 2019-04-02 |
| 1700350261 | Nierenberg Associates,pa | Internal Medicine | 1800 E Van Buren St # 605, Phoenix, AZ 85006-3742 | 2019-01-17 |
| 1952875783 | Vpa PC | Internal Medicine | 7600 N 15th St Ste 165b, Phoenix, AZ 85020-4305 | 2019-01-15 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1053803676 | Ahwatukee Health Care, LLC | Internal Medicine | 16515 S 40th St Ste 119, Phoenix, AZ 85048-0559 | 2018-05-30 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| Find all providers in PHOENIX | ||||
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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.