NPI Code Detail JSON Logo

1952355166 NPI number — PREMALATHA VINDHYA M.D.

NPI Number: 1952355166
Health Care Provider/Practitioner: PREMALATHA VINDHYA M.D.

Information about “1952355166” NPI (PREMALATHA VINDHYA M.D.) exists in 1952355166 in HTML format HTML  |  1952355166 in plain Text format TXT  |  1952355166 in PDF (Portable Document Format) PDF  |  1952355166 in an XML format XML  formats.

NPI Number : 1952355166 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952355166",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VINDHYA",
    "FirstName": "PREMALATHA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VINDHYA",
    "OtherFirstName": "PREMA",
    "OtherMiddleName": "L.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2101 N MIDLAND DR",
    "SecondLineMailingAddress": "STE 9",
    "MailingAddressCityName": "MIDLAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79707-5593",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "432-699-0255",
    "MailingAddressFaxNumber": "432-520-5914",
    "FirstLinePracticeLocationAddress": "2479 E 11TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ODESSA",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79761-4232",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "432-333-1901",
    "PracticeLocationAddressFaxNumber": "432-520-5914",
    "EnumerationDate": "05/20/2006",
    "LastUpdateDate": "07/12/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207N00000X",
        "TaxonomyName": "Dermatology Physician",
        "LicenseNumber": "G7739",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.