Thiruvallur Vallabhan, MD, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

THIRUVALLUR VALLABHAN, MD, PA

Practice address

8630 E County Road 466
Suite a
The Villages, FL 32162-5613

Phone

(352) 638-1705

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thiruvallur E Vallabhan, MDNPI 1316992175

Title

Physician Owner

Phone

(352) 638-1705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thiruvallur Ecchambadi Vallabhan, MD

  • Cardiovascular Disease Physician
  • Lady Lake, FL
  • NPI 1316992175
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1972819894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 E COUNTY ROAD 466",
            "address_2": "SUITE A",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625613",
            "telephone_number": "352-638-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 E COUNTY ROAD 466",
            "address_2": "SUITE A",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625613",
            "telephone_number": "352-638-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRUVALLUR VALLABHAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "VALLABHAN",
        "authorized_official_first_name": "THIRUVALLUR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "352-638-1705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Villages Medical Center, LLC
• The Villages Rehabilitation Services LLC (Lake Centre for Rehabilitation at the Villages)
• John C Theeck, DC
• Therapy Matters LLC
• Brooke A Thermidor, DO
• Jessie Thomas, APRN, FNP-BC
• Sheila A Thomas, M.D.
• Michael Thurston
• Donald Craig Tigchelaar, D.D.S.
• Terah Leigh Tooma, DMD

• Medical Specialty Clinic/Center in The Villages, FL
• Providers in The Villages, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.