MAMATHA GADDAM MD NPI 1306220736

NPI Information

NPI: 1306220736
Provider Name: MAMATHA GADDAM, MD
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

PECOS Registration: Yes

Address:
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511
Get Directions

Mamatha Gaddam, MD is a hematology internal medicine in Rochester, MN with 13 years of experience. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. Mamatha Gaddam, MD NPI is 1306220736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 1ST ST SW
ROCHESTER, MN
ZIP 55905-001
Phone: (507) 284-2511

The NPI 1306220736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 1/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	68987	MINNESOTA	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	E-14876	ARKANSAS	No
3	207RX0202X	Internal Medicine	Medical Oncology	68987	MINNESOTA	No
4	390200000X	Student in an Organized Health Care Education/Training Program		MT209869	PENNSYLVANIA	No
5	207RH0000X	Internal Medicine	Hematology	68987	MINNESOTA	Yes
6	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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