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
Fax: (512) 251-4442
Website:
Authorized official contact:
Name: Mambapoor, Viswajyothi Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326377730 NPPES
Other 00662Q MEDICARE PTAN
MEDICAID 146610401 MEDICARE PTAN

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