Viswajyothi Mambapoor, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L1124 Issued in TX

Legal business name

VISWAJYOTHI MAMBAPOOR, MD, PA

Practice address

200 N Heatherwilde Blvd Ste B
Pflugerville, TX 78660-3530

Phone

(512) 251-7007

Fax

(512) 251-4442

NPI assigned

Dec 14, 2009

Last updated

Dec 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Viswajyothi Mambapoor, MD

Title

Owner

Phone

(512) 251-7007

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1326377730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N HEATHERWILDE BLVD STE B",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603530",
            "telephone_number": "512-251-7007",
            "fax_number": "512-251-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N HEATHERWILDE BLVD STE B",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603530",
            "telephone_number": "512-251-7007",
            "fax_number": "512-251-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISWAJYOTHI MAMBAPOOR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "MAMBAPOOR",
        "authorized_official_first_name": "VISWAJYOTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-251-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1124",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146610401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00662Q",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Danielle Vidauri
• Sabreelyn Villalpando, MS, LPC
• Joseph Villarreal
• Taylor Lynn Villarreal
• Visionworks Inc.
• Viva Smiles Pflugerville LLC (Viva Smiles Pflugerville)
• Viva Smiles Wells Branch PLLC
• Rose Voigtsberger, PT
• Michael Raymond Voith, PT
• Chantel Estene Von Steiger, LCSW

• Family Medicine Physician in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.