Organization Active NPI

Keenan, Malladi & O'Neill, P.C.

  • Specialist
  • Holyoke, MA
National Provider Identifier
1073610267
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KEENAN, MALLADI & O'NEILL, P.C.
Practice address
10 Hospital Dr
Suite 106
Holyoke, MA 01040-6603
Phone
(413) 536-2978
Fax
(413) 536-7195
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
R Gopal Malladi, M.D.
Title
Managing Partner
Phone
(413) 536-2978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10 Hospital Dr
Suite 106
Holyoke, MA 01040-6603

Mailing address

10 Hospital Dr
Suite 106
Holyoke, MA 01040-6603
Phone (413) 536-2978

National Provider Directory

National Provider Directory

Locations

10 Hospital Dr
Ste 106
Holyoke, MA 01040
Phone (413) 536-2304

299 Carew St
Ste 135
Springfield, MA 01104
Phone (413) 788-1992

75 Springfield Rd
Ste 6
Westfield, MA 01085
Phone (413) 568-2304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073610267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "address_2": "SUITE 106",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "413-536-2978",
            "fax_number": "413-536-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "address_2": "SUITE 106",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "413-536-2978",
            "fax_number": "413-536-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEENAN, MALLADI & O'NEILL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLADI",
        "authorized_official_first_name": "R GOPAL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "413-536-2978",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.