Avatar Palliative Care LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

AVATAR PALLIATIVE CARE LLC

Practice address

100 N Central Expy Ste 190
Richardson, TX 75080-5302

Phone

(844) 422-5528

NPI assigned

Mar 28, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Sharmatha Rajesh

Title

Coo

Phone

(503) 887-8223

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1356091631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY STE 190",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY STE 190",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805302",
            "telephone_number": "844-422-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVATAR PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "RAJESH",
        "authorized_official_first_name": "SHARMATHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "503-887-8223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://kinnser.net/",
            "affiliation": "N",
            "address_1": "100 N Central Expy Ste 190",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750805302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Hospice and Palliative Medicine (Internal Medicine) Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.