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VIJAYA NAMA MD PA
NPI 1073520177
Clinic/Center - Primary Care in Garland, TX

Active since August 02, 2006CLIA 45D1060759 · Waiver
407 W INTERSTATE 30, GARLAND, TX 75043(972) 303-3000(972) 303-3003 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vijaya Nama Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIJAYA NAMA MD PA (NPI 1073520177) is a healthcare organization registered as a primary care in Garland, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Vijaya Nama, Owner, as its authorized official.

NPPES Registry Identity

NPI1073520177
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVIJAYA NAMA MD PA
Location Address407 W INTERSTATE 30Garland, TX 75043-5912
Mailing Address407 W Interstate 30Garland, TX 75043-5912 · (972) 303-3000 · Fax (972) 303-3003
Phone(972) 303-3000
Fax(972) 303-3003
Organization SubpartNo
Authorized OfficialVijaya NamaOwner · (972) 303-3000
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073520177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · L7821
407 W INTERSTATE 30, Garland, TX 75043
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1060759

Vijaya Nama Family Practice · Mesquite, TX
Active · expires Oct 30, 2026
CLIA Number45D1060759
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorVijaya Nama
Laboratory Phone(972) 303-3000
Laboratory LocationVijaya Nama Family Practice4800 N Galloway Ave Suite 300, Mesquite, TX 75150
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXAS BONE AND JOINT CENTER
Orthopaedic Surgery
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539
SHINI ROBIN
Nurse Practitioner (Family)
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539
HAIDER HEALTH SERVICES PLLC
Family Medicine
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539
CARLTON K CLARKE M.D., P.A,
Family Medicine
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539
MOHAMMED AL-HAIDER MD
Family Medicine
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539
BROADWAY I-30 MEDICAL CLINIC, PLLC
Family Medicine
407 W INTERSTATE 30
GARLAND, TX 75043
Dallas County (972) 240-8539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vijaya Nama MD PA's NPI number?

The NPI number for Vijaya Nama MD PA is 1073520177. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Vijaya Nama MD PA located?

Vijaya Nama MD PA is located at 407 W Interstate 30, Garland, TX 75043. The listed phone number is (972) 303-3000.

What is Vijaya Nama MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Vijaya Nama MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1060759) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vijaya Nama MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.