Diabetes Reversal of America, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

DIABETES REVERSAL OF AMERICA, LLC

Practice address

1463 S Mason Rd
Katy, TX 77450-4568

Phone

(281) 808-7381

Fax

(281) 624-4488

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Raj Varma

Title

Owner

Phone

(281) 808-7381

Specialties & licenses 1

Addresses

Other names 1

• Medical Biodiagnostic LLC Former legal business name

Locations

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790215358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 STAR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577113",
            "telephone_number": "281-808-7381",
            "fax_number": "281-861-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774504568",
            "telephone_number": "281-808-7381",
            "fax_number": "281-624-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5723 Star Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770577113",
            "country_code": "US",
            "telephone_number": "281-808-7381",
            "fax_number": "281-861-8415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES REVERSAL OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VARMA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-808-7381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Biodiagnostic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tajdeep K Dhindsa, M.D.
• Maherin Dhuka, FNP-C
• Rainish Dhuka, DDS
• Manish Dhutia, D.M.D., M.S.
• Diabetes America
• Susan Dial, IBCLC
• Fatoumata Diallo
• Diana S. Duff, M.D.
• Kristen Diao, MD
• Luis Norberto Diaz Gonzalez

• Infusion Therapy Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.