A.Shanmugam M.D

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

G0539 Issued in TX

Legal business name

A.SHANMUGAM M.D

Practice address

1602 Rock Prairie Rd
Suite 210
College Station, TX 77845-8306

Phone

(979) 696-5663

Fax

(979) 694-1319

NPI assigned

Feb 23, 2016

Last updated

Feb 23, 2016By 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

Dr. Aiyanadar Shanmugam, M.DNPI 1386659811

Title

Physician/Owner

Phone

(979) 696-5663

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aiyanadar Shanmugam, M.D F.A.C.E, F.A.C.E

  • Specialist
  • College Station, TX
  • NPI 1386659811
  NPD (past) Authorized official
• Natraj Aiyappan Shanmugam, M.D.

  • Internal Medicine Physician
  • College Station, TX
  • NPI 1043449465
  NPD (past)

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1508226234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "SUITE 210",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-696-5663",
            "fax_number": "979-694-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "SUITE 210",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-696-5663",
            "fax_number": "979-694-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.SHANMUGAM M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "SHANMUGAM",
        "authorized_official_first_name": "AIYANADAR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "979-696-5663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "G0539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A1 Imaging of College Station LLC (A1 Imaging of College Station)
• Aap - Psychology PLLC (Associates for Applied Psychology)
• Tazeen Abbas
• Brian Todd Abbey, DPM

• Endocrinology, Diabetes & Metabolism Physician in College Station, TX
• Providers in College Station, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.