Active NPI
Karthik Devarajan, M.D., M.B.A.
- Otolaryngology Physician
- Galveston, TX
National Provider Identifier
1871988246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- BP10060919
- Practice address
- 301 University Blvd
Galveston, TX 77555-0521 - Phone
- (409) 772-4688
- Fax
- (409) 772-1715
- NPI assigned
- Apr 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | BP10060919 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-0521
Mailing address
301 University Blvd
Galveston, TX 77555-0521
Phone (409) 772-4688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10060919 | TX | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1871988246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550521",
"telephone_number": "409-772-4688",
"fax_number": "409-772-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550521",
"telephone_number": "409-772-4688",
"fax_number": "409-772-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVARAJAN",
"first_name": "KARTHIK",
"name_prefix": "Dr.",
"credential": "M.D., M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-02",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "BP10060919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.