Subbarayudu Koppera MD, Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SUBBARAYUDU KOPPERA MD, INC

Practice address

7594 Ogden Woods Blvd
New Albany, OH 43054-9635

Phone

(740) 644-6474

NPI assigned

Sep 21, 2007

Organization subpart

Yes

Parent organization

SUBBARAYUDU KOPPERA MD,INCAs reported in NPPES

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

Authorized official

Name

Subbarayudu Koppera, MD

Title

Owner

Phone

(740) 622-6474

Specialties & licenses 1

Addresses

Part of

Subbarayuda Koppera MD

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Subbarayudu Koppera MD

  • Nephrology Physician
  • New Albany, OH
  • NPI 1891980074
  NPPES parent name

Practitioners 2

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

• Mahyar Tahbaz, DO

  • Nephrology Physician
  • Marietta, OH
  • NPI 1770583031
  NPD (past)
• Sugkee Youn, M.D.

  • Nephrology Physician
  • Centreville, VA
  • NPI 1053498766
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1992991137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7594 OGDEN WOODS BLVD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549635",
            "telephone_number": "740-644-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7594 OGDEN WOODS BLVD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549635",
            "telephone_number": "740-644-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBBARAYUDU KOPPERA MD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUBBARAYUDU KOPPERA MD,INC",
        "enumeration_date": "2007-09-21",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "KOPPERA",
        "authorized_official_first_name": "SUBBARAYUDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-622-6474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Stewart
• Kyle Wesley Storc, PA-C
• Eli Stroh, RD
• Dawn Dilworth Strong, CRNA
• Subbarayudu Koppera MD
• Hunter M Sully, PHD
• Sunny Popsicle LLC
• Elizabeth Swanger, LAC
• Jenna Swartzentruber
• Devon Marie Swick, DO

• Nephrology Physician in New Albany, OH
• Providers in New Albany, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.