The Fame Foundation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE FAME FOUNDATION

Practice address

1946 Pasadena Blvd
Pasadena, TX 77502-2742

Phone

(832) 203-5992

Fax

(866) 611-7531

NPI assigned

Sep 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sundar Alvin Dhamotharan, MD

Title

Cmo

Phone

(346) 205-4388

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630713600000",
    "number": "1265100101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16610 MYSTIC HARBOR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770954597",
            "telephone_number": "346-205-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 PASADENA BLVD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022742",
            "telephone_number": "832-203-5992",
            "fax_number": "866-611-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAME FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-04",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A",
        "authorized_official_last_name": "DHAMOTHARAN",
        "authorized_official_first_name": "SUNDAR",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "346-205-4388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PASADENA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1946 Pasadena Blvd",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775022742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.