Krishna Reddy & Rama D Nayini,PTR-East Texas Heart & Lung Clinic

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G0494 Issued in TX

Legal business name

KRISHNA REDDY & RAMA D NAYINI,PTR-EAST TEXAS HEART & LUNG CLINIC

Doing business as

East Texas Heart & Lung Clinic

Practice address

915 N 4TH St
Longview, TX 75601-5416

Phone

(903) 236-3773

Fax

(903) 236-3779

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rama Devi Nayini, M.D.NPI 1598724940

Title

Owner

Phone

(903) 236-3773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Texas Heart & Lung Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rama Devi Nayini, M.D.

  • Pulmonary Disease Physician
  • Longview, TX
  • NPI 1598724940
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1750340097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015416",
            "telephone_number": "903-236-3773",
            "fax_number": "903-236-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015416",
            "telephone_number": "903-236-3773",
            "fax_number": "903-236-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA REDDY & RAMA D NAYINI,PTR-EAST TEXAS HEART & LUNG CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "NAYINI",
        "authorized_official_first_name": "RAMA",
        "authorized_official_middle_name": "DEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-236-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "G0494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0000SN74",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Heart & Lung Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pulmonary Disease Physician in Longview, TX
• Providers in Longview, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.