Dr. Vamseen Jetti PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

P6981 Issued in TX

Legal business name

DR. VAMSEEN JETTI PA

Practice address

6200 W Parker Rd
Plano, TX 75093-8185

Phone

(972) 668-7460

Fax

(972) 668-7467

NPI assigned

Dec 18, 2013

Organization subpart

No

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

Authorized official

Name

Vamseen Jetti, MD

Title

Owner

Phone

(202) 505-3884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1962823955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 GILLESPIE ST",
            "address_2": "#3",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194839",
            "telephone_number": "202-505-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938185",
            "telephone_number": "972-668-7460",
            "fax_number": "972-668-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VAMSEEN JETTI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "JETTI",
        "authorized_official_first_name": "VAMSEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-505-3884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P6981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P6981",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.