Active NPI
Kesturkoppal Muralidhara MD, PA
- General Practice Physician
- McAllen, TX
National Provider Identifier
1164866455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- KESTURKOPPAL MURALIDHARA MD, PA
- Practice address
- 300 S 2ND St
Ste. 105-B
McAllen, TX 78501-2702 - Phone
- (956) 225-2401
- Fax
- (888) 794-8753
- NPI assigned
- Apr 17, 2013
- 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
- Dr. Kesturkoppal Muralidhara II, MD
- Title
- MD/President
- Phone
- (956) 225-2401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
300 S 2ND St
Ste. 105-B
McAllen, TX 78501-2702
Mailing address
300 S 2ND St
Ste. 105-B
McAllen, TX 78501-2702
Phone (956) 225-2401
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215664802 | Medicaid | TX | |
| 296117901 | Medicaid | TX | |
| 1164866455 | Medicaid | TX | |
| 296117902 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
300 S 2nd St
Ste 105B
McAllen, TX 78501
Phone (956) 225-2401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470873600000",
"number": "1164866455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S 2ND ST",
"address_2": "STE. 105-B",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012702",
"telephone_number": "956-225-2401",
"fax_number": "888-794-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 2ND ST",
"address_2": "STE. 105-B",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012702",
"telephone_number": "956-225-2401",
"fax_number": "888-794-8753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KESTURKOPPAL MURALIDHARA MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-17",
"last_updated": "2016-08-11",
"status": "A",
"authorized_official_last_name": "MURALIDHARA",
"authorized_official_first_name": "KESTURKOPPAL",
"authorized_official_title_or_position": "MD/PRESIDENT",
"authorized_official_telephone_number": "956-225-2401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215664802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296117901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164866455",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296117902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.