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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SAMATHA K KADIYALA, MD
506 THIS WAY ST
LAKE JACKSON, TX77566-5128
 Phone: 979-266-9544
 Fax: 979-529-9737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SAMATHA K KADIYALA · (Female)

NPI # 1003002627
Status Active
Credentials MD
Entity Individual
Enumeration date 09/18/2007
Last updated 06/06/2016 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # N4502
  • TX Medicaid 206442001
Hospital affiliation(s)
  • BRAZOSPORT REGIONAL HEALTH SYSTEM - (Acute Care)
    100 MEDICAL DRIVE
    LAKE JACKSON, TX 77566
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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