Organization Active NPI

Everest Internal Medicine P.a.

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1245661784
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4892 Issued in TX
Legal business name
EVEREST INTERNAL MEDICINE P.A.
Practice address
920 Medical Plaza Dr
Suite 350
Shenandoah, TX 77380-3260
Phone
(713) 876-5260
NPI assigned
Dec 10, 2013
Last updated
Dec 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Dr. Sharmila Naidu, M.D.
Title
President
Phone
(713) 876-5260

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M4892 TX
Internal Medicine Physician 207R00000X M4892 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr
Suite 350
Shenandoah, TX 77380-3260

Mailing address

4775 W Panther Creek Dr
#440-113
The Woodlands, TX 77381-3592

National Provider Directory

National Provider Directory

Locations

4775 W Panther Creek Dr
#440113
The Woodlands, TX 77381

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1245661784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 W PANTHER CREEK DR",
            "address_2": "#440-113",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "SUITE 350",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "713-876-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST INTERNAL MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "NAIDU",
        "authorized_official_first_name": "SHARMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-876-5260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M4892",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.