DR. SAMATHA KRISHNA KADIYALA M.D. NPI 1003002627

Obstetrics & Gynecology in Lake Jackson, TX

About SAMATHA KADIYALA

Samatha Kadiyala is a provider in Lake Jackson, TX with more than 17 years of experience. The NPI number assigned to this provider is 1003002627. The practitioner's primary taxonomy code is Obstetrics & Gynecology (207V00000X). The provider is registered as an individual and their NPI record was last updated 2 years ago. Samatha Kadiyala is registered with Medicare and accepts claims assignment.

NPI1003002627 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. SAMATHA KRISHNA KADIYALA M.D.
Provider Location Address506 THIS WAY ST LAKE JACKSON, TX 77566 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address215 OAK DRIVE SOUTH SUITE B LAKE JACKSON, TX 77566 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-18-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-06-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. SAMATHA KRISHNA KADIYALA M.D.
506 THIS WAY ST
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 266-9544
Fax: (979) 529-9737
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Mailing Address

DR. SAMATHA KRISHNA KADIYALA M.D.
215 OAK DRIVE SOUTH
SUITE B
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 266-9544
Fax: (979) 529-9737

Primary Taxonomy

Taxonomy Code207V00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.N4502
License StateTX
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8L20445MEDICARE UPIN (02)TX
206442001MEDICAID (05)TX

Map Location


DR. SAMATHA KRISHNA KADIYALA M.D. address is 506 THIS WAY ST LAKE JACKSON, TX 77566

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407163116BRAZOSPORT WOMENS HEALTH PA
Organization
Obstetrics & Gynecology (Gynecology)506 THIS WAY ST
LAKE JACKSON, TX 77566
(979) 266-9544
1548555329FOOT DOCTORS OF TEXAS LLC
Organization
Podiatrist506 THIS WAY ST
LAKE JACKSON, TX 77566
(979) 297-7798