Viswajyothi Mambapoor, Md, Pa
LBN: Viswajyothi Mambapoor, Md, Pa
Viswajyothi Mambapoor, Md, Pa is an health care organization with primary practice located at 200 N Heatherwilde Blvd Ste B , Pflugerville TX 78660-3530. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Viswajyothi Mambapoor, Md, Pa can be contacted via phone (512) 251-7007, or through Mambapoor, Viswajyothi via phone (512) 251-7007.
Contact Information
Primary practice address
200 N Heatherwilde Blvd Ste B
Pflugerville TX 78660-3530
Phone: (512) 251-7007
Fax: (512) 251-4442
Website:
Authorized official contact:
Name: Mambapoor, Viswajyothi Doctor of Medicine (MD)
Phone: (512) 251-7007
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L1124 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L1124 | Texas |
Profile Details
| NPI number | 1326377730 |
|---|---|
| LBN Legal business name | Viswajyothi Mambapoor, Md, Pa |
| DBA Doing business as | |
| Authorized official | Mambapoor, Viswajyothi Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 14th, 2009 |
| Last updated | Dec 14th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326377730 | NPPES |
| Other | 00662Q | MEDICARE PTAN | |
| MEDICAID | 146610401 | MEDICARE PTAN |
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