Active NPI
MDCH Partners LLC
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1104417435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MDCH PARTNERS LLC
- Practice address
- 5718 Universal HTS Blvd
Ste 203a
San Antonio, TX 78249 - Phone
- (210) 834-7649
- Fax
- (833) 422-0139
- NPI assigned
- Jan 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ravi Kanth Reddy Yalamuri, MD
- Title
- President
- Phone
- (210) 834-7649
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5718 Universal HTS Blvd
Ste 203a
San Antonio, TX 78249
Mailing address
5718 Universal HTS Blvd
Ste 203a
San Antonio, TX 78249
Phone (210) 834-7649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P4132 | Other | TX | MD LICENSE |
National Provider Directory
National Provider DirectoryLocations
5718 University Hts
Ste 203A
San Antonio, TX 78249
Phone (210) 834-7649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611878400000",
"number": "1104417435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 UNIVERSAL HTS BLVD",
"address_2": "STE 203A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78249",
"telephone_number": "210-834-7649",
"fax_number": "833-422-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5718 UNIVERSAL HTS BLVD",
"address_2": "STE 203A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78249",
"telephone_number": "210-834-7649",
"fax_number": "833-422-0139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDCH PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-13",
"status": "A",
"authorized_official_last_name": "YALAMURI",
"authorized_official_first_name": "RAVI KANTH",
"authorized_official_middle_name": "REDDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-834-7649",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "P4132",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.