Mind and Body Telemedicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MIND AND BODY TELEMEDICINE LLC

Practice address

3418 Duplin Creek Dr
Katy, TX 77494-6310

Phone

(619) 203-7930

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Sameer Poddar, MDNPI 1740591247

Title

MD

Phone

(619) 203-7930

Specialties & licenses 1

Addresses

Tax ID family

Mind and Body Telemedicine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mind and Body Telemedicine LLC

  • Multi-Specialty Clinic/Center
  • Cherry Hill, NJ
  • NPI 1275362709
  NPD tax ID

Practitioners 1

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

• Sameer S Poddar, MD MPH

  • Internal Medicine Physician
  • Camden, NJ
  • NPI 1740591247
  NPD Authorized official

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1366216392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SAINT MORITZ LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080035122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 DUPLIN CREEK DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946310",
            "telephone_number": "619-203-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY TELEMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "PODDAR",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "619-203-7930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Mills, B.ED
• Ahmad Ali Millwala, DMD
• John Ryan Milnes
• Mimi Chan, LLC
• Mina Medical Transportation, LLC
• Mind Ease Psychotherapy, LLC
• Mind Harbor Psychiatric Services PLLC
• Mind Matters Psychiatry PLLC
• Mindful Conversations Counseling
• Mindrx Psychiatric Consulting PLLC

• Internal Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Internal Medicine Physician in Texas

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