Organization Active NPI

Vejovis Health

  • Internal Medicine Physician
  • Luling, TX
National Provider Identifier
1306129366
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N7455 Issued in TX
Legal business name
VEJOVIS HEALTH
Practice address
200 Memorial Dr
Luling, TX 78648-3213
Phone
(512) 761-0125
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Mammen Maliakkal, MDNPI 1497730816
Title
Owner
Phone
(512) 761-0125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X N7455 TX Primary

Addresses

Primary practice location

200 Memorial Dr
Luling, TX 78648-3213

Mailing address

7301 Ranch Rd 620 N
Ste. 155 293
Austin, TX 78726-4539
Phone (512) 761-0125

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1306129366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 RANCH RD 620 N",
            "address_2": "STE. 155 293",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264539",
            "telephone_number": "512-761-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL DR",
            "city": "LULING",
            "state": "TX",
            "postal_code": "786483213",
            "telephone_number": "512-761-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEJOVIS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "MALIAKKAL",
        "authorized_official_first_name": "MAMMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-761-0125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.