Organization Name: | PREMA L. VINDHYA, M.D., P. A. |
NPI Number: | 1164710570 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PREMALATHA VINDHYA (OWNER) |
Mailing Address: | 2479 E 11th St Odessa |
State: | TX US |
Postal Code: | 797614232 |
Phone Number: | 4323331901 |
Fax Number: | 4325205914 |
NPI Enumeration Date: | 07/19/2011 |
NPI Last Update Date: | 07/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G7739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |