Active NPI
Lake Highlands Internal Medicine
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1134412372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LAKE HIGHLANDS INTERNAL MEDICINE
- Practice address
- 8210 Walnut Hill LN
Suite 306
Dallas, TX 75231-4405 - Phone
- (214) 497-6573
- NPI assigned
- May 20, 2011
- 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
- Sudha Meena Royappa, M.D.
- Title
- Managing Owner
- Phone
- (214) 497-6573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TX | Primary |
Addresses
Primary practice location
8210 Walnut Hill LN
Suite 306
Dallas, TX 75231-4405
Mailing address
6825 Truxton Dr
Dallas, TX 75231-5717
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305849600000",
"number": "1134412372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6825 TRUXTON DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 WALNUT HILL LN",
"address_2": "SUITE 306",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314405",
"telephone_number": "214-497-6573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE HIGHLANDS INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A",
"authorized_official_last_name": "ROYAPPA",
"authorized_official_first_name": "SUDHA",
"authorized_official_middle_name": "MEENA",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "214-497-6573",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.