Kumara S. Peddamatham, MD, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G4378 Issued in TX

Legal business name

KUMARA S. PEDDAMATHAM, MD, PA

Practice address

1601 Main St
Ste 401
Richmond, TX 77469-3247

Phone

(281) 342-9530

Fax

(281) 342-9564

NPI assigned

Mar 30, 2010

Last updated

Aug 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kumara S Peddamatham, M.D.NPI 1659377547

Title

President

Phone

(281) 342-9530

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kumara S Peddamatham, M.D.

  • Gastroenterology Physician
  • Richmond, TX
  • NPI 1659377547
  Authorized official Same address or phone

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1073838314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST",
            "address_2": "STE 401",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693247",
            "telephone_number": "281-342-9530",
            "fax_number": "281-342-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST",
            "address_2": "STE 401",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693247",
            "telephone_number": "281-342-9530",
            "fax_number": "281-342-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMARA S. PEDDAMATHAM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "PEDDAMATHAM",
        "authorized_official_first_name": "KUMARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-342-9530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G4378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Richmond, TX
• Providers in Richmond, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.