Vijayalakshmi M Tammareddi MD PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

F4584 Issued in TX

Legal business name

VIJAYALAKSHMI M TAMMAREDDI MD PA

Practice address

2965 Harrison St
Suite # 316
Beaumont, TX 77702-1100

Phone

(409) 899-2332

Fax

(409) 923-1998

NPI assigned

Sep 8, 2008

Last updated

Sep 8, 2008By 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

Branda Wilson

Title

Office Manager

Phone

(409) 899-2332

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1548418130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "VIJAYALAKSHMI M TAMMAREDDI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-899-2332"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "F4584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127518204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victory Medical Center Beaumont, L.P.
• Vida Keller Riston RN CNM PC
• Sheila Vidal, RPH
• Vidor Texas Care LLC (Texas Care Vidor)
• Vijay Kumar MD PA
• Village Care Providers of Beaumont Inc
• Village Choice Healthcare Inc
• Antonio Jardiel Villasan, MD
• Dee Ann Vines, LVN
• Vitality Health and Wellness LLC

• 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 Sep 8, 2008; 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.