First State Internal Medicine PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2012605820 Issued in DE

Legal business name

FIRST STATE INTERNAL MEDICINE PC

Practice address

102 Sleepy Hollow Dr
Suite 101
Middletown, DE 19709-5841

Phone

(302) 261-2269

Fax

(302) 834-2184

NPI assigned

Oct 14, 2012

Organization subpart

No

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

Authorized official

Name

Rashmi Khandelwal, M.D.

Title

President

Phone

(302) 753-8204

Specialties & licenses 1

Addresses

Locations

Practitioners 6

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

• Sravanthy Pataparla, M.D

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1346404589
  NPD (past)
• Vishal R Patel, MD MBA

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1205127172

  Single Specialty

  NPD (past)
• Madhu Srinivas Prattipati, M.D.

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1790936193
  NPD (past)
• Vidyarani Subbaraya, M.D.

  • Internal Medicine Physician
  • Middletown, DE
  • NPI 1316997018
  NPD (past)
• Danielle Wallace, FNP

  • Family Nurse Practitioner
  • Milford, DE
  • NPI 1720880032
  NPD (past)
• Nishan Kugan, MD

  • Physical Medicine & Rehabilitation Physician
  • York, PA
  • NPI 1801196639
  NPD (past)

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

{
    "created_epoch": "1350172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1356693394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HURLOCK CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197014960",
            "telephone_number": "302-261-2269",
            "fax_number": "302-834-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR",
            "address_2": "SUITE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095841",
            "telephone_number": "302-261-2269",
            "fax_number": "302-834-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-14",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "KHANDELWAL",
        "authorized_official_first_name": "RASHMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-753-8204",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "DE",
            "license": "2012605820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C. Fenimore, CADC
• Donna L Fenton, M.A.
• Patricia Hansen Figgs, M.D.
• Jeffrey S Filandro, O.D.
• First State Family Practice, Inc
• First State Neurology, LLC
• First State Orthopaedics PA
• First State Orthopaedics PA
• Beth Fisher, DO
• Lisa Celia Flaherty, PHARMACIST

• Medical Specialty Clinic/Center in Middletown, DE
• Providers in Middletown, DE by specialty
• Medical Specialty Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.