Sudesh Nagavalli MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53077 Issued in CA

Legal business name

SUDESH NAGAVALLI MD INC.

Practice address

1524 W Lacey Blvd
Suite 103
Hanford, CA 93230-5965

Phone

(559) 583-4503

Fax

(559) 583-4600

NPI assigned

Apr 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sudesh Nagavalli, MD

Title

Ceo

Phone

(559) 583-4503

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUDESH NAGAVALLI MD Other name

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1326281791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932320480",
            "telephone_number": "559-587-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W LACEY BLVD",
            "address_2": "SUITE 103",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305965",
            "telephone_number": "559-583-4503",
            "fax_number": "559-583-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDESH NAGAVALLI MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "NAGAVALLI",
        "authorized_official_first_name": "SUDESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-583-4503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A530770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUDESH NAGAVALLI MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Joyce Stuart, CRNA
• Martha L Suarez, P.A.
• Rosa Linda Suarez
• Kira Jane Sudds
• Sudeep Singh M.D., Inc
• Chase Brayden Summers, LCSW
• Angel S Suniga
• Surgitek Outpatient Center Inc
• Suzanne L. Cardoza, O.D.
• Jasmine Swalef, APCC

• Internal Medicine Physician in Hanford, CA
• Providers in Hanford, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.