Organization Active NPI

Rahul Patri MD PLLC

  • Interventional Cardiology Physician
  • Beaumont, TX
National Provider Identifier
1306259742
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
RAHUL PATRI MD PLLC
Practice address
3345 Plaza 10 Dr
Ste E
Beaumont, TX 77707-2554
Phone
(409) 838-2626
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. Rahul Patri, MD
Title
Officer/Owner
Phone
(409) 838-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

3345 Plaza 10 Dr
Ste E
Beaumont, TX 77707-2554

Mailing address

3345 Plaza 10 Dr
Ste E
Beaumont, TX 77707-2554
Phone (409) 838-2626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1306259742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "STE E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-838-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "STE E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-838-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHUL PATRI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "PATRI",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "OFFICER/OWNER",
        "authorized_official_telephone_number": "409-838-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.