Radheshyam Miryala MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RADHESHYAM MIRYALA MD PA

Doing business as

WLNS

Practice address

3017 S Island Dr
Seabrook, TX 77586-1649

Phone

(832) 541-8155

NPI assigned

May 8, 2023

Last updated

May 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Radheshyam Miryala, MDNPI 1407943020

Title

Medical Director

Phone

(832) 541-8155

Specialties & licenses 1

Addresses

Other names 1

• WLNS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Radheshyam Miryala, M.D.

  • Emergency Medicine Physician
  • Seabrook, TX
  • NPI 1407943020
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1831888676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 S ISLAND DR",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775861649",
            "telephone_number": "832-541-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 S ISLAND DR",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775861649",
            "telephone_number": "832-541-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHESHYAM MIRYALA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "MIRYALA",
        "authorized_official_first_name": "RADHESHYAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-541-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WLNS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Polsen, M.D.
• Premier Sports Chiropractic, PLLC (Dustin Young Chiropractic)
• Procare Surgical First Assist, PLLC
• Professional Hearing Associates (Galco Hearing Aid Service)
• Roxanna Quintanilla
• Radius EMS, LLC
• David Ramirez, CSFA
• Kelly Reader, M.A., CCC-SLP
• Leroysha Reese
• Judith H Richardson, D.C.

• Primary Care Clinic/Center in Seabrook, TX
• Providers in Seabrook, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.