Dr. Samantapudi Krishnamaraju Daya
Internist Pulmonary Disease Geriatric Medicine Internist - Cardiovascular Disease
11937 Us Hwy 271
Tyler
, Texas 75708-3154
Dr. Samantapudi Krishnamaraju Daya
Internist Pulmonary Disease Geriatric Medicine Internist - Cardiovascular Disease
11937 Us Hwy 271
Tyler
, Texas 75708-3154
(903) 877-7777
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About
Features
Specialties
- Internist
- Internist - Cardiovascular Disease
- Geriatric Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Samantapudi Krishnamaraju Daya
- Po Box 731912
- Dallas, TX
- Zip : 75373-1912
- Phone : (903) 877-7777
Second Address
- Dr. Samantapudi Krishnamaraju Daya
- 11937 Us Hwy 271
- Tyler, TX
- Zip : 75708-3154
- Fax : (903) 877-5838
- Phone : (903) 877-7777
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD424649 | PA |
| N | 111NI0900X | Internist | MD424649 | PA |
| Y | 207RC0000X | Internist - Cardiovascular Disease | M9956 | TX |
| N | 207RG0300X | Geriatric Medicine | MD424649 | PA |
| N | 207RP1001X | Pulmonary Disease | MD424649 | PA |
National Provider Identifier
| NPI | 1053356220 |
|---|---|
| Provider Name | Dr. Samantapudi Krishnamaraju Daya |
| First Address | Dallas, TX 75373-1912 |
| Second Address | Tyler, TX 75708-3154 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2006 |
| Last Update Date | 19/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I13575 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.