Vijayalakshmi Madala Tammareddi, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

F4584 Issued in TX

Practice address

2965 Harrison St
Suite 316
Beaumont, TX 77702-1100

Phone

(409) 899-2332

Fax

(409) 923-1998

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1497836944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 MONTICELLO ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067712",
            "telephone_number": "409-899-4212",
            "fax_number": "409-899-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST",
            "address_2": "SUITE 316",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021100",
            "telephone_number": "409-899-2332",
            "fax_number": "409-923-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMMAREDDI",
        "first_name": "VIJAYALAKSHMI",
        "middle_name": "MADALA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "F4584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127518204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Eugene Talbert, M.D.
• Kevin Joseph Talbot, M.D.
• Sarah Talbot, MD
• Justin Jose Tamayo
• Tamerla D Chavis MD,PA
• Sarah Ann Tanton, FNP-C
• William Bruce Tarver, R.PH.
• Regina Michelle Tate, LPC
• Priyanka Tatini, DDS
• Eloise D Tatum

• Anesthesiology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.