Nusrat B Soleja MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NUSRAT B SOLEJA MD PA

Practice address

6417 Memorial Dr
Ste a
Texas City, TX 77591-4058

Phone

(409) 935-9800

Fax

(409) 935-9802

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nusrat B Soleja, MD

Title

President

Phone

(409) 935-9800

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1114056058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57668",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987668",
            "telephone_number": "409-935-9800",
            "fax_number": "409-935-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 MEMORIAL DR",
            "address_2": "STE A",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914058",
            "telephone_number": "409-935-9800",
            "fax_number": "409-935-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSRAT B SOLEJA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "SOLEJA",
        "authorized_official_first_name": "NUSRAT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-935-9800",
        "authorized_official_name_prefix": "Dr.",
        "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": "BCBSTX",
            "identifier": "0111PU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE0969",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179000801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Texas City, TX
• Providers in Texas City, 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 Mar 18, 2015; 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.