Koonlawee Nademanee, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

A32891 Issued in CA

Practice address

1700 Cesar E. Chavez Avenue
Suite 2700
Los Angeles, CA 90033-2434

Phone

(310) 672-9999

Fax

(310) 861-0540

NPI assigned

Aug 25, 2006

Last updated

Jun 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Usc Internal Medicine, Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1356390009
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1699882415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 33679",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900330679",
            "telephone_number": "310-672-9999",
            "fax_number": "310-861-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CESAR E. CHAVEZ AVENUE",
            "address_2": "SUITE 2700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332434",
            "telephone_number": "310-672-9999",
            "fax_number": "310-861-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEMANEE",
        "first_name": "KOONLAWEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A32891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eve Suzanne Nadel, L.C.S.W.
• Elizabeth Nadela
• Rama K Nadella, M.D.
• Korin Nadelle
• Celina M. Nadelman, M.D.
• Nader Sobh Inc
• Nader Sobh Inc
• Nader Sobh Inc
• Asal Naderi, MD
• Bahar Mehdizadeh Naderi, P.A

• Clinical Cardiac Electrophysiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Cardiac Electrophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.