Organization Active NPI

Vijaya Kavikondala MD PA

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1194031633
Registry record updated Aug 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2666 Issued in TX
Legal business name
VIJAYA KAVIKONDALA MD PA
Practice address
4557 Kentucky Dr
Plano, TX 75024-3984
Phone
(972) 491-0795
Fax
(972) 491-0795
NPI assigned
Aug 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2010

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

Authorized official

Name
Dr. Vijaya Kavikondala, M.D.
Title
Director
Phone
(972) 804-4936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M2666 TX Primary

Addresses

Primary practice location

4557 Kentucky Dr
Plano, TX 75024-3984

Mailing address

4557 Kentucky Dr
Plano, TX 75024-3984
Phone (972) 491-0795

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282435200000",
    "number": "1194031633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4557 KENTUCKY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243984",
            "telephone_number": "972-491-0795",
            "fax_number": "972-491-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4557 KENTUCKY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243984",
            "telephone_number": "972-491-0795",
            "fax_number": "972-491-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYA KAVIKONDALA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-22",
        "last_updated": "2010-08-22",
        "status": "A",
        "authorized_official_last_name": "KAVIKONDALA",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-804-4936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2010; 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.