Primary Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M0699 Issued in TX

Legal business name

PRIMARY INTERNAL MEDICINE

Practice address

30 Sierra Oaks Dr
Sugar Land, TX 77479-5899

Phone

(713) 714-2446

Fax

(713) 714-2439

NPI assigned

Nov 29, 2016

Last updated

Nov 29, 2016By 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

Dr. Deepa Dave, M.DNPI 1982693057

Title

Director

Phone

(713) 714-2446

Specialties & licenses 1

Addresses

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.

• Deepa C Dave, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1982693057
  Authorized official Same address or phone

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1104369776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SIERRA OAKS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795899",
            "telephone_number": "713-714-2446",
            "fax_number": "713-714-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SIERRA OAKS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795899",
            "telephone_number": "713-714-2446",
            "fax_number": "713-714-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "DEEPA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-714-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prime Choice Pharmacy, LLC
• Prime Concierge Nursing Services Inc
• Prime Health Med Group
• Primecare Pharmacy, LLC (Primecare Pharmacy)
• Primepath Medical Associates PLLC

• Internal Medicine Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.