Organization Active NPI

Ik Gunadi Mdpa

  • Diagnostic Radiology Physician
  • McAllen, TX
National Provider Identifier
1023175403
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
IK GUNADI MDPA
Practice address
612 Nolana St Ste 330
McAllen, TX 78504-3088
Phone
(956) 630-2225
Fax
(956) 630-2275
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Irwan K Gunadi, MD
Title
President
Phone
(956) 630-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

612 Nolana St Ste 330
McAllen, TX 78504-3088

Mailing address

PO Box 720480
McAllen, TX 78504-0480
Phone (956) 630-2225

National Provider Directory

National Provider Directory

Locations

101 E Ridge Rd
Ste C
McAllen, TX 78503
Phone (856) 668-6900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023175403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720480",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040480",
            "telephone_number": "956-630-2225",
            "fax_number": "956-630-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 NOLANA ST STE 330",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043088",
            "telephone_number": "956-630-2225",
            "fax_number": "956-630-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IK GUNADI MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUNADI",
        "authorized_official_first_name": "IRWAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-630-2225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.