Active NPI
Gummadi & Desai LLC
- Hematology & Oncology Physician
- Edinburg, TX
National Provider Identifier
1144570599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- GUMMADI & DESAI LLC
- Practice address
- 2717 Michael Angelo Ste 302
Edinburg, TX 78539-1409 - Phone
- (956) 668-1111
- NPI assigned
- Sep 13, 2012
- 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
- Shannon L Lopez
- Title
- Admin
- Phone
- (956) 668-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
2717 Michael Angelo Ste 302
Edinburg, TX 78539-1409
Mailing address
2717 Michael Angelo Ste 302
Edinburg, TX 78539-1409
Phone (956) 668-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D2044637 | Other | TX | CLIA |
Other names 1
- Edinburg Oncology
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347494400000",
"number": "1144570599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 MICHAEL ANGELO STE 302",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391409",
"telephone_number": "956-668-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 MICHAEL ANGELO STE 302",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391409",
"telephone_number": "956-668-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUMMADI & DESAI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "956-668-1111"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D2044637",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Edinburg Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.