Active NPI
Woodlands Internist Management III, LLC
- Internal Medicine Physician
- Shenandoah, TX
National Provider Identifier
1962969501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WOODLANDS INTERNIST MANAGEMENT III, LLC
- Practice address
- 123 Vision Park Blvd
Shenandoah, TX 77384-3001 - Phone
- (281) 719-0374
- NPI assigned
- Mar 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadeem Jamil, MD
- Title
- President
- Phone
- (281) 719-0374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
123 Vision Park Blvd
Shenandoah, TX 77384-3001
Mailing address
35 Legato Way
Spring, TX 77382-2072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L2349 | Other | TX | LICENCE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551398400000",
"number": "1962969501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LEGATO WAY",
"city": "SPRING",
"state": "TX",
"postal_code": "773822072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 VISION PARK BLVD",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843001",
"telephone_number": "281-719-0374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLANDS INTERNIST MANAGEMENT III, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-01",
"last_updated": "2019-03-01",
"status": "A",
"authorized_official_last_name": "JAMIL",
"authorized_official_first_name": "NADEEM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-719-0374",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE",
"identifier": "L2349",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
- Woodlands Diagnostic Clinic, PA
- Woodlands Elite Cardiology, PLLC
- Woodlands Endoscopy Centr, LTD.
- Woodlands Heart and Vascular Institute, PA
- Woodlands Internal Medicine, P.a.
- Woodlands Neurology Clinic PLLC
- Woodlands Neuromuscular PA
- Woodlands Pain Institute PLLC
- Woodlands Premier Sleep Center, L.P.
- Woodlands Premium Care Partners LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.