Vijaya Rao Thandra, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q5936 Issued in TX

Practice address

2607 River Run Rd
Missouri City, TX 77459-7264

Phone

(248) 981-7139

NPI assigned

Feb 1, 2006

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

Other identifiers 2

Other names 1

• Vijayalaksmi Rao Thandra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alpesh D. Desai, D.O. P.a.

  • Specialist
  • Houston, TX
  • NPI 1124078985
  NPD (past)
• Tricity Medical Centers, P.C.

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
  • NPI 1922054485
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1871565200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 RIVER RUN RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597264",
            "telephone_number": "248-981-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 RIVER RUN RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597264",
            "telephone_number": "248-981-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANDRA",
        "first_name": "VIJAYA",
        "middle_name": "RAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUCROSS BLUSHIELD",
            "identifier": "0808262241",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4326290-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAYALAKSMI",
            "last_name": "THANDRA",
            "middle_name": "RAO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Texas Regional Health Providers
• Texas Regional Healthcare PLLC
• Texas Transitions Community Healthcare Center, Inc
• Thach Little Smiles
• Charu Krishna Thammavaram, LPC-A
• Jincy Thankachen
• Sheeja Mathews Tharappel, FNP-C
• Stephanie Jeanneth Tharayil, M.D
• The American Keystone Hospice LLC
• The Care Home of Royalty

• Family Medicine Physician in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.