NPIMap

Organization Active NPI

Mesquite Regional Internal Medicine

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1144516212
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MESQUITE REGIONAL INTERNAL MEDICINE
Practice address
929 N Galloway Ave Ste 104
Mesquite, TX 75149-2400
Phone
(972) 216-0079
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Anuradha L Mundluru, MD
Title
Owner
Phone
(972) 216-0079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

929 N Galloway Ave Ste 104
Mesquite, TX 75149-2400

Mailing address

929 N Galloway Ave Ste 104
Mesquite, TX 75149-2400
Phone (972) 216-0079

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1144516212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE STE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492400",
            "telephone_number": "972-216-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE STE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492400",
            "telephone_number": "972-216-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE REGIONAL INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "MUNDLURU",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-216-0079",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.