Anamaya Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P8743 Issued in TX

Legal business name

ANAMAYA INTERNAL MEDICINE PLLC

Practice address

25420 Kuykendahl Rd
Ste D1000
The Woodlands, TX 77375-0000

Phone

(281) 255-4900

Fax

(281) 255-4901

NPI assigned

Nov 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mythili S Vedala, M.D.

Title

Owner/Sole Member

Phone

(281) 255-4900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1558767558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W DOUBLE GREEN CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821098",
            "telephone_number": "281-255-4900",
            "fax_number": "281-255-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25420 KUYKENDAHL RD",
            "address_2": "STE D1000",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773750000",
            "telephone_number": "281-255-4900",
            "fax_number": "281-255-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAMAYA INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "VEDALA",
        "authorized_official_first_name": "MYTHILI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "281-255-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P8743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.