Mentor Registration – AAPI Calendar

MENTOR REGISTRATIONS

Sno	Email Address	First Name	Last Name	Address Line 1	City	US State	Zip Code	Work Phone	Mobile Phone	Preferred Contact Method	Current Experience Level	Specialty	Practice Type Old	Balance Due	Payment amount	Attending National Convention?	Practice Type	Which mentorship activities are you interested in participating in?	If you answered "Other" for the above question, please provide further...	Are you interested in being a Preceptor in an official Observorship...
1	[email protected]	Anil	Nair	54 Miller St	Boston	Massachusetts	02169		6176395006	Email	Over 10 years in practice	Neurology Internal Medicine Geriatric Neurology		0.00	0.00		Private Practice	Telephone or Email Advice, Shadowing Opportunities, Research Assistance		Yes
2	[email protected]	CHANDRA	HASSAN	840 S Wood St, Suite 435E	Chicago	Illinois	60612	6462348943	6462348943	Phone, Email, Text	Over 10 years in practice	Bariatric surgery, General surgery, advanced laparoscopy and robotic surgery	Academic	0.00	0.00			Mentorship at National Conference, Telephone or Email Advice, Shadowing Opportunities, Research Assistance, Interview Training, CV/Cover Letter Review, Specialty Choice Advice		Yes
3	[email protected]	Soumya	Neravetla	3484 Rockview Dr	Springfield	Ohio	45504	9373245511	9126654319	Email	YPS	fsdf	Private Practice	0.00	0.00	No
4	[email protected]	Vandana	Krishna, MD, MS, FAAAAI, FACAAI	955 Main st Suite 208	Winchester	Massachusetts	01890	6178181490	6178181490	Email	Resident	Internal Medicine, Allergy Immunology		0.00	0.00		Private Practice	Shadowing Opportunities
5	[email protected]	Srinagesh	Paluvoi	19415 Deerfield Avenue, #210	Lansdowne	Virginia	20176	7037298830	7033464280	Email	Over 10 years in practice	Allergy & Immunology	Private Practice	0.00	0.00	Yes
6	[email protected]	Ravi	Jahagirdar	396 N Spaulding Cove	Heathrow	Florida	32746	407-330-1100	407-230-2232	Email, Text	Over 10 years in practice	Urology	Private Practice	0.00	0.00	Yes
7	[email protected]	Vasundhara	Kalasapudi	#2C 178-36 Wexford Terrace	Jamaica Estates	New York	11432	917-288-7600	516-859-5125	Email	Over 10 years in practice	Geriatric Psychiatry		0.00	0.00		Private Practice, Employed	Research Assistance, Other	India Home inc, non profit organization serving South Asian Seniors, can provide research opportunities for FMGs.	Yes
9	[email protected]	Subbarao	Bollepalli	213 Court street 8th floor	Middletown	Connecticut	06457		860-508-3802	Text	Over 10 years in practice	Psychiatry	Employed	0.00	0.00			Mentorship at Winter Medical Conference, Mentorship at National Conference, Telephone or Email Advice, Interview Training, CV/Cover Letter Review, Specialty Choice Advice, Other	Leadership, health policy, setting up private practice, career development	No
10	[email protected]	Dhrumil	Shah	31 Eisenhower Dr	Sharon	Massachusetts	02067	5083502193	6173659994	Email, Text	Over 10 years in practice	Family Medicine Clinical Informatics	Private Practice	0.00	0.00			Mentorship at National Conference, Telephone or Email Advice, Other	Healthcare Technology & Digital Health advancements	No
11	[email protected]	Sunil	Gupta	202 Radial	Irvine	California	92618		760-861-5937	Email, Text	YPS	Rheumatology		0.00	0.00		Employed	Mentorship at Winter Medical Conference, Telephone or Email Advice, Specialty Choice Advice
12	[email protected]	J R	Grandhe MD	6401 Truxtun Avenue	Bakersfield	California	93309	661-327-9300	6613429277	Email	Over 10 years in practice	Pain Management	Private Practice	0.00	0.00			Shadowing Opportunities		Yes
13	[email protected]	POOJA	PATEL	627 STRASSLE WAY	SOUTH PLAINFIELD	New Jersey	07080		9082943447	Phone	YPS	INTERNAL MEDICINE- PRIMARY CARE/HOSPITALIST		0.00	0.00		Private Practice	Shadowing Opportunities		Yes
14	[email protected]	Nirav	Desai	360 State St	New Haven	Connecticut	06510		7065751751	Text	YPS	Bariatric, Foregut, and General Surgery		0.00	0.00		Private Practice	Mentorship at Winter Medical Conference, Mentorship at National Conference, Telephone or Email Advice		No
15	[email protected]	Kinjal	Solanki	2 Wing Foot Ct	Monroe Twp	New Jersey	08831-5136	7327624136	7327624136	Email, Text	Fellow	Infectious Disease Internal Medicine	Academic	0.00	0.00			Mentorship at Winter Medical Conference, Mentorship at National Conference, Telephone or Email Advice, Research Assistance, Specialty Choice Advice		No
16	[email protected]	Kinjal	Solanki	2 Wing Foot Ct	Monroe Twp	New Jersey	08831-5136	7327624136	7327624136	Email, Text	Fellow	Infectious Disease	Academic	0.00	0.00			Mentorship at Winter Medical Conference, Mentorship at National Conference, Telephone or Email Advice, Research Assistance, Specialty Choice Advice		No
17	[email protected]	Raj	Bhayani	1783 West 6th Street	Brooklyn	New York	11223		7182499383	Email	Over 10 years in practice	Ear nose throat	Private Practice	0.00	0.00			Mentorship at Winter Medical Conference, Mentorship at National Conference, Shadowing Opportunities, Interview Training		Yes
18	[email protected]	Nikhil	Bhayani	PO Box 1661	Colleyville	Texas	76034		2146637744	Email, Text		Infectious Diseases	Private Practice	0.00	0.00	No
19	[email protected]	Mukesh	Nigam	Atrium Health Pineville	Charlotte	North Carolina	28226		4342039393	Email		Anesthesiology	Employed	0.00	0.00	Yes
20	[email protected]	Vandana	Agarwal	350 Vinton Ave suite 101	Pomona	California	91767	9096205502	3104339608	Email	Over 10 years in practice	Medical Oncology/Hematology/Internal Medicine		0.00	0.00		Private Practice	Mentorship at Winter Medical Conference, Mentorship at National Conference, Telephone or Email Advice, Shadowing Opportunities, Specialty Choice Advice		Yes
21	[email protected]	Ranjita	Sengupta, MD,FACC,FASE,FASNC ,RPVI	CASC 465 Union Ave	Bridgewater	New Jersey	08807	(908) 722-6410	2014634154	Email, Text	Over 10 years in practice	Invasive Cardiology		0.00	0.00		Private Practice	Mentorship at Winter Medical Conference, Mentorship at National Conference, Shadowing Opportunities, Specialty Choice Advice		No
22	[email protected]	Rahul	Paryani	500 W Hospital Road	French Camp	California	95231		9172947336	Phone	YPS	Internal medicine		0.00	0.00		Academic	Mentorship at Winter Medical Conference, Mentorship at National Conference, Telephone or Email Advice, Shadowing Opportunities, Research Assistance, Interview Training, CV/Cover Letter Review, Specialty Choice Advice		Yes
23	[email protected]	Vandana	Agarwal	350 Vinton Ave suite 101	Pomona	California	91767	9096205502	3104339608	Email	Over 10 years in practice	Internal Medicine,Hematology-Medical Oncology	Private Practice	0.00	0.00			Mentorship at Winter Medical Conference, Telephone or Email Advice, Shadowing Opportunities		Yes
24	[email protected]	Gunjan	Bhatnagar	33 creek rd	Irvine	California	92604		9495591099	Email	Over 10 years in practice	Obgyn		0.00	0.00		Private Practice	Mentorship at Winter Medical Conference, Telephone or Email Advice, Shadowing Opportunities, Interview Training, Specialty Choice Advice		Yes
25	[email protected]	anil	jonnalagadda	821 Stonecliffe Road	Malvern	PA	19355	(732) 447-4909		Email, Text		cardiology						Mentorship at National Conference, Telephone or Email Advice, Mentorship at Winter Medical Conference		No
26	[email protected]	Rupal	Patel	11501 Grey Oaks Estates Run	Glen Allen	VA	23059			Email		Orthopedic surgery	Private Practice					Mentorship at National Conference, Shadowing Opportunities, Specialty Choice Advice		Yes