Lizy Babu Kandoth, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

722177 Issued in TX

Practice address

901-East Hackberry Ave
McAllen, TX 78501

Phone

(956) 618-7100

Fax

(956) 291-9896

NPI assigned

Jul 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1750129243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MARC AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397720",
            "telephone_number": "469-463-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901-EAST HACKBERRY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-618-7100",
            "fax_number": "956-291-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDOTH",
        "first_name": "LIZY",
        "middle_name": "BABU",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "722177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K-RGV Medical Transport Service
• Yasitha Kakarlapudi, M.D.
• Kallumadanda PLLC
• Sunand Monnaiah Kallumadanda, MD
• Hazem Bassam Kanaan, D.O.
• Swarnalatha Kanneganti, M.D.
• Davender Kanwar, PHARMD
• Allan Kapilivsky, M.D.
• Osama Kaplan, DO
• Jagatdeep Kaur

• Registered Nurse in McAllen, TX
• Providers in McAllen, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.