Active NPI
Vani Kudlur Chandrappa, M.D.
- Pediatrics Physician
- Olive Branch, MS
National Provider Identifier
1124329016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 49385
- Practice address
- 5480 Goodman Rd
Olive Branch, MS 38654-7902 - Phone
- (662) 893-9877
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 49385 | TN | Primary |
Addresses
Primary practice location
5480 Goodman Rd
Olive Branch, MS 38654-7902
Mailing address
9871 Garden PL
Germantown, TN 38139-6934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49385 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Children'S Clinic,PC | Pediatrics | Past | Accepting new patients |
| Memphis Radiological, PC | Past | Accepting new patients | |
| Baptist Memorial Hospital-Desoto, Inc, | Past | Accepting new patients | |
| Methodist Healthcare - Olive Branch Hospital | Past | Accepting new patients |
Interoperability endpoints
- vchandrappa34681@mlh.direct-ci.com
- vani.chandrappa.1@14999.direct.athenahealth.com
- https://api.platform.athenahealth.com/14999/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Senatobia, MS
- NPI 1265756951
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
-
- Nuclear Radiology Physician
- Memphis, TN
- NPI 1457350514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1124329016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9871 GARDEN PL",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381396934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 GOODMAN RD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547902",
"telephone_number": "662-893-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDLUR CHANDRAPPA",
"first_name": "VANI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-08",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "49385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.