SUBRA ANANDASIVAM MD PA NPI 1669611596

NPI Information

NPI: 1669611596
Provider Name: SUBRA ANANDASIVAM MD PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 45D1015991

Address:
64 S PRICE RD
STE A
BROWNSVILLE, TX
ZIP 78521
Phone: (956) 548-2242
Get Directions

SUBRA ANANDASIVAM MD PA is a nephrology internal medicine in Brownsville, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SUBRA ANANDASIVAM MD PA NPI is 1669611596. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

64 S PRICE RD
STE A
BROWNSVILLE, TX
ZIP 78521-459
Phone: (956) 548-2242
Fax: (956) 548-2262

The provider's authorized official is Subra Anandasivam .
The authorized official title is Md and has the following contact phone number (956) 548-2242.

The CLIA number assigned to this NPI record is 45D1015991 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2009 and was last updated on 11/16/2011.

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
1	207R00000X	Internal Medicine		L5222	TEXAS	No
2	207RN0300X	Internal Medicine	Nephrology	K0605	TEXAS	Yes

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
1	156202701	MEDICAID	TEXAS
2	030566601	MEDICAID	TEXAS

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: 5/5/2024

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