Active NPI
Kokila S Vasanawala, MD
- Anatomic Pathology & Clinical Pathology Physician
- Big Spring, TX
National Provider Identifier
1437161189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 134192-1
- Practice address
- 300 W Veterans Blvd
West Teaxs VA Health Care System
Big Spring, TX 79720-5566 - Phone
- (432) 263-7361
- Fax
- (432) 264-4859
- NPI assigned
- Aug 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 134192-1 | NY | Primary |
Addresses
Primary practice location
300 W Veterans Blvd
West Teaxs VA Health Care System
Big Spring, TX 79720-5566
Mailing address
300 W Veterans Blvd
West Teaxs VA Health Care System
Big Spring, TX 79720-5566
Phone (432) 263-7361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134192-1 | Other | NY | MEDICAL LINCENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134192-1 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437161189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W VETERANS BLVD",
"address_2": "WEST TEAXS VA HEALTH CARE SYSTEM",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797205566",
"telephone_number": "432-263-7361",
"fax_number": "432-264-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W VETERANS BLVD",
"address_2": "WEST TEAXS VA HEALTH CARE SYSTEM",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797205566",
"telephone_number": "432-263-7361",
"fax_number": "432-264-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASANAWALA",
"first_name": "KOKILA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "134192-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LINCENSE",
"identifier": "134192-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Big Spring, TX
- United House Calls of Texas, Inc (Best Home Care)
- Shiraj Adambhai Vahora, MD
- Matthew Cory Van Pelt, LPC ASSOCIATE
- Huong Thi Van, M.D.
- Rosine Vandenberg, PMHNP-BC
- Shreenivas K. Vasanawala, M.D.
- Nancy Faye Vassar, WHNP
- VCKB Management, LTD (Parkview Nursing & Rehab Center)
- Shelley Colene Vela
- Vibrant Mental Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.