Elango Vinjirayer, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N4184 Issued in TX

Legal business name

ELANGO VINJIRAYER, M.D., P.A.

Practice address

4235 Holland Ave Apt C
Dallas, TX 75219-5913

Phone

(214) 329-1281

Fax

(817) 622-8068

NPI assigned

Jan 14, 2013

Organization subpart

No

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

Authorized official

Name

Jill Boeth

Title

Billing Manager

Phone

(682) 237-7032

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1992042782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 HOLLAND AVE APT C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195913",
            "telephone_number": "214-329-1281",
            "fax_number": "817-622-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 HOLLAND AVE APT C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195913",
            "telephone_number": "214-329-1281",
            "fax_number": "817-622-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANGO VINJIRAYER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "BOETH",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "682-237-7032"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, 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 Jan 14, 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.