Sushma Gorrela Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L6740 Issued in TX

Legal business name

SUSHMA GORRELA FAMILY PRACTICE

Practice address

18 Meadowridge PL
The Woodlands, TX 77381-6275

Phone

(281) 257-5977

Fax

(281) 257-5966

NPI assigned

Jun 3, 2008

Organization subpart

Yes

Parent organization

SUSHMA GORRELA FAMILY PRACTICEAs reported in NPPES

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

Authorized official

Name

Mani Kishore Sharma

Title

Credentialing Manager

Phone

(281) 257-5977

Specialties & licenses 1

Addresses

Part of

Sushma Gorrela Family Practice

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1356500631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MEADOWRIDGE PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816275",
            "telephone_number": "281-257-5977",
            "fax_number": "281-257-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MEADOWRIDGE PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816275",
            "telephone_number": "281-257-5977",
            "fax_number": "281-257-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHMA GORRELA FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSHMA  GORRELA FAMILY PRACTICE",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "MANI",
        "authorized_official_middle_name": "KISHORE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "281-257-5977"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supplemental Healthcare Inc.
• Surepoint Emergency Physicians Woodlands PLLC
• Surgery Center of the Woodlands, LLC
• Surgical Group of the Woodlands
• Surgical Steele Assistants
• Krishna Suzana, BCBA, LBA
• Amanda Swartz
• D Sean Sweeney, D.P.M., P.A.
• Sweeny Hospital District
• Terrance Seymour Swonke, D. D. S.

• Family Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, 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 Jun 20, 2008; 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.