Organization Active NPI

Kamal N. Tolia, M.D., P.a.

  • Gynecology Physician
  • Odessa, TX
National Provider Identifier
1275892499
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G5697 Issued in TX
Legal business name
KAMAL N. TOLIA, M.D., P.A.
Practice address
6005 Eastridge Rd
Suite 110
Odessa, TX 79762-5019
Phone
(432) 362-3626
Fax
(432) 366-3363
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Mrs. Kamal Nalin Tolia, M.D.
Title
President
Phone
(432) 362-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X G5697 TX Primary

Addresses

Primary practice location

6005 Eastridge Rd
Suite 110
Odessa, TX 79762-5019

Mailing address

6005 Eastridge Rd
Suite 110
Odessa, TX 79762-5019
Phone (432) 362-3626

Other identifiers 1

IdentifierTypeStateIssuer
0984270MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1275892499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 EASTRIDGE RD",
            "address_2": "SUITE 110",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625019",
            "telephone_number": "432-362-3626",
            "fax_number": "432-366-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 EASTRIDGE RD",
            "address_2": "SUITE 110",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625019",
            "telephone_number": "432-362-3626",
            "fax_number": "432-366-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMAL N. TOLIA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "TOLIA",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "NALIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-362-3626",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "G5697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0984270",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.