Mohamed D Vadva MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

J5042 Issued in TX

Legal business name

MOHAMED D VADVA MD PA

Practice address

2501 Jimmy Johnson Blvd
Siute 204
Port Arthur, TX 77640-2000

Phone

(409) 722-7700

Fax

(409) 722-7705

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Dawood Vadva, M.D

Title

President

Phone

(409) 722-7700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1770918013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SIUTE 204",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402000",
            "telephone_number": "409-722-7700",
            "fax_number": "409-722-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SIUTE 204",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402000",
            "telephone_number": "409-722-7700",
            "fax_number": "409-722-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED D VADVA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "VADVA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "DAWOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-722-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J5042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Miller, FNP
• David Millich, NP
• Donna Larkins Mitchell, FNP-C
• Waheeda Mithani, M.D.
• Willa Renee Moffett-Williford, LCDC
• Mohammed a. Islam M.D.P.a.
• Thomas J Molina, M.D.
• Maherin Momin, DDS
• Monica K Loverdi, PLLC
• Dorothy J Moore, DC

• Gastroenterology Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.