Coastal Nephrology Associates PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COASTAL NEPHROLOGY ASSOCIATES PLLC

Practice address

7676 Phoenix Dr Apt 1611
Houston, TX 77030-4726

Phone

(512) 639-7927

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Soubhi Altaki, MD

Title

Provider

Phone

(512) 639-7927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1912672122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 PHOENIX DR APT 1611",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304726",
            "telephone_number": "512-639-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 PHOENIX DR APT 1611",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304726",
            "telephone_number": "512-639-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEPHROLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "ALTAKI",
        "authorized_official_first_name": "SOUBHI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "512-639-7927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Eye Associates
• Coastal Eye Associates, PLLC
• Coastal Medical Group
• Coastal Medical Services and Staffing
• Coastal Medical Services, Inc.
• Coastal Surgical Group
• Coastal Texas Cardiovascular Inc
• Coastal-Inpatient Nephrologist PLLC
• Coastal-Kidney Treatment Centers PLLC
• Marybeth Coates, PTA

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.