Balakrishna Reddy Mangapuram Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J9189 Issued in TX

Legal business name

BALAKRISHNA REDDY MANGAPURAM INC

Practice address

9004 Forest Xing
Suite E
The Woodlands, TX 77381-1197

Phone

(281) 364-6677

Fax

(281) 292-6379

NPI assigned

Jan 25, 2011

Last updated

Jan 25, 2011By 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

Jessica Taboada

Title

Office Manager

Phone

(281) 364-6677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1376848218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 FOREST XING",
            "address_2": "SUITE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811197",
            "telephone_number": "281-364-6677",
            "fax_number": "281-292-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 FOREST XING",
            "address_2": "SUITE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811197",
            "telephone_number": "281-364-6677",
            "fax_number": "281-292-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALAKRISHNA REDDY MANGAPURAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "TABOADA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-364-6677"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035975401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Win Bailey, M.D.
• Aries Bajoyo, MD
• Susan Ilona Bajza, MA, PHD
• Joshua Michael Baker, PA
• Marcia Baker
• Russell L Banning, LPC
• Alexandra Seresun Barber, APRN, NP
• Wilma Juliana Barboza, MSN,APRN,AGACNP
• Amy Barbuto, PT, DPT
• Anjanette H Barger, M.S, LMFT-ASSOCIATE

• Internal Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, 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 Jan 25, 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.