SUMAN S KUPPAHALLY, M.D. INC (NPI# 1962000141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962000141 |
| Entity Type | Organization |
| Organization Name | SUMAN S KUPPAHALLY, M.D. INC |
| Practice Address |
2505 Samaritan Dr Ste 600 San Jose CA 95124-4017 |
| Practice Telephone | 4083583458 |
| Practice Fax Number | 4086933614 |
| Mailing Telephone | 4083583458 |
| Mailing Fax Number | 4086933614 |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-11 |
| Authorized Official Name | DR. SUMAN S KUPPAHALLY (MD) |
| Authorized Official Telephone | 4083583458 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
2505 SAMARITAN DR STE 600 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1861918369 | T. Chow Cardiology and Electrophysiology Medical Office | Internal Medicine | 175 N Jackson Ave Ste 111, San Jose, CA 95116-1909 | 2017-08-16 |
| 1275915431 | Careremote | Internal Medicine | 2050 Mckee Rd, Suite 54, San Jose, CA 95116-1431 | 2015-06-24 |
| 1487059960 | Evergreen Cardiology Group, Inc | Internal Medicine | 200 Jose Figueres Ave Ste 330, San Jose, CA 95116-1590 | 2014-10-27 |
| 1639351125 | Dan Van Dang | Internal Medicine | 969 Story Rd, Suite 6066, San Jose, CA 95122-2690 | 2007-11-27 |
| 1538369699 | Anjali Gulati, M.d., Inc. | Internal Medicine | 2505 Samaritan Dr Ste 404, San Jose, CA 95124-4012 | 2007-07-18 |
| 1639375959 | Amir Kaykha | Internal Medicine | 105 N Bascom Ave Ste 204, San Jose, CA 95128-1811 | 2007-06-24 |
| 1396892162 | James Barrett Weidner | Internal Medicine | 2030 Forest Ave Ste 110, San Jose, CA 95128-4833 | 2007-01-04 |
| 1710911011 | Jonathan Ting Ng | Internal Medicine | 1835 Park Ave, San Jose, CA 95126-1650 | 2006-07-10 |
| 1912936659 | South Bay Cardiology | Internal Medicine | 2039 Forest Ave #201, San Jose, CA 95128 | 2006-07-03 |
| 1518919687 | Pascual Izquierdo | Internal Medicine | 2030 Forest Avenue, Suite 210, San Jose, CA 95128-4833 | 2006-05-17 |
| Find all providers in SAN JOSE | ||||
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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.