Organization Active NPI

Selma Medical Weight Loss and Spa

  • Medical Specialty Clinic/Center
  • Selma, AL
National Provider Identifier
1508306242
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD26752 Issued in AL
Legal business name
SELMA MEDICAL WEIGHT LOSS AND SPA
Practice address
4 Office Park Cir
Selma, AL 36701-6538
Phone
(334) 872-7575
Fax
(334) 872-7574
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. Sai Namburu, M.D.
Title
Partner/Medical Doctor
Phone
(334) 872-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD26752 AL Primary

Addresses

Primary practice location

4 Office Park Cir
Selma, AL 36701-6538

Mailing address

4 Office Park Cir
Selma, AL 36701-6538
Phone (334) 872-7575

National Provider Directory

National Provider Directory

Locations

4 Office Park Cir
Selma, AL 36701
Phone (205) 872-6216

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1508306242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016538",
            "telephone_number": "334-872-7575",
            "fax_number": "334-872-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016538",
            "telephone_number": "334-872-7575",
            "fax_number": "334-872-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA MEDICAL WEIGHT LOSS AND SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "NAMBURU",
        "authorized_official_first_name": "SAI",
        "authorized_official_title_or_position": "PARTNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "334-872-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "MD26752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.