Kadiyala, Samatha Krishna

Kadiyala, Samatha Krishna is an individual health care provider with primary practice located at 506 This Way St , Lake Jackson TX 77566-5128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kadiyala, Samatha Krishna can be contacted via phone (979) 266-9544.

Contact Information

Primary practice address
506 This Way St Lake Jackson TX 77566-5128
Fax: (979) 529-9737
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X N4502 Texas

Profile Details

NPI number 1003002627
LBN Legal business name Kadiyala, Samatha Krishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Jun 6th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003002627 NPPES
Texas MEDICAID 206442001

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