Healing Tree Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEALING TREE INTERNAL MEDICINE LLC

Practice address

3044 W New Haven Ave
Melbourne, FL 32904-3566

Phone

(716) 907-2834

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Mudanai Sabapathy, MDNPI 1063498327

Title

Owner

Phone

(716) 907-2834

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mudanai Panneerselvam Sabapathy, MD

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1063498327
  NPD (past) Authorized official

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1154987089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 BOTANICA CIR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329047333",
            "telephone_number": "716-907-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 W NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043566",
            "telephone_number": "716-907-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TREE INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "SABAPATHY",
        "authorized_official_first_name": "MUDANAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-907-2834",
        "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": []
}

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• Internal Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.