Priyamvada Khandheria, M.D

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

G4325 Issued in TX

Practice address

2424 50TH St
Suite 301
Lubbock, TX 79412-2549

Phone

(806) 795-2533

Fax

(806) 795-0336

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: priyamvada.khandheria@direct.myteamcare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lubbock Regional MHMR Center

  • Clinic/Center
  • Lubbock, TX
  • NPI 1992708705
  NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275749178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 50TH ST",
            "address_2": "SUITE 301",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122549",
            "telephone_number": "806-795-2533",
            "fax_number": "806-795-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 50TH ST",
            "address_2": "SUITE 301",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122549",
            "telephone_number": "806-795-2533",
            "fax_number": "806-795-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDHERIA",
        "first_name": "PRIYAMVADA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "TX",
            "license": "G4325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashraf M Khan, MD
• Rubina Jamal Khan, M.D.
• Zaurez Khan, M.D.
• Nuvneet Khandelwal, MD, MBA
• Manoj P Khandheria, MD
• Lena S Kharrat, DDS
• Mayada Shoukfeh Khater
• Timothy Tamim Khater, MD
• Kible Health TX, P.a.
• Gail Kidd, LCDC

• Psychosomatic Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Psychosomatic Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.