The Naidu Clinic, PA

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

2010011351 Issued in TX

Legal business name

THE NAIDU CLINIC, PA

Practice address

605 E 4TH St Ste 300
Odessa, TX 79761-5100

Phone

(432) 337-4347

NPI assigned

Oct 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Raja Bavikati Naidu, M.D.

Title

Doctor

Phone

(432) 337-4347

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1366727729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 NEW ORLEANS DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624736",
            "telephone_number": "432-362-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 4TH ST STE 300",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615100",
            "telephone_number": "432-337-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NAIDU CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "NAIDU",
        "authorized_official_first_name": "RAJA",
        "authorized_official_middle_name": "BAVIKATI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "432-337-4347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "2010011351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Tech University Health Science Center Odessa
• Texas Tech University Health Sciences Center Odessa
• Texas Transport Service
• Tina Thai
• Shanthi Thangam, MD
• The Odessa Birth Center, PLLC
• The Odessa Birth Center, PLLC
• The Women'S Center of the Permian Basin PA
• Thomas C Turner, MD
• Thomas D. Meek, M.D. P.a.

• Adult Health Clinical Nurse Specialist in Odessa, TX
• Providers in Odessa, TX by specialty
• Adult Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.