RADHESHYAM MIRYALA M.D. NPI 1407943020

NPI Information

  • NPI: 1407943020
  • Provider Name: RADHESHYAM MIRYALA, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 3017 S ISLAND DR
    SEABROOK, TX
    ZIP 77586
  • Phone: (832) 541-8155

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NPI Details

Radheshyam Miryala, M.D. is an emergency medicine in Seabrook, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Radheshyam Miryala, M.D. NPI is 1407943020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3017 S ISLAND DR
SEABROOK, TX
ZIP 77586-649
Phone: (832) 541-8155

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineL1940TEXASNo
2207P00000XEmergency MedicineL1940TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H58158MEDICARE UPINTEXAS
2150348401MEDICAIDTEXAS
38969N8MEDICARE ID-TYPE UNSPECIFIEDTEXAS
400R518MEDICARE PINTEXAS
5CI5830MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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