SHYAMALA MIRYALA (NPI# 1013019744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013019744 |
| Entity Type | Individual |
| Full Name | SHYAMALA MIRYALA |
| Credential | MD |
| Practice Address |
4400 Long Prairie Rd Flower Mound TX 75028-1892 |
| Practice Telephone | 4693227481 |
| Practice Fax Number | 4693227807 |
| Mailing Telephone | 4693227481 |
| Mailing Fax Number | 4693227807 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | P4596 | TX | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 0101228924 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 313368804 | 05 | |
| TX | 313368803 | 05 |
| Street Address |
4400 LONG PRAIRIE RD |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75028-1892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867637 | Michelle Marie Wright | Physician Assistant | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2005-11-08 |
| 1700423555 | Megan Danielle Page | Registered Nurse | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2019-11-27 |
| 1598241408 | Nia Nicole Hudson | Specialist/Technologist, Other | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2018-07-13 |
| 1659870590 | Madonna Marie Roberts | Registered Nurse | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2018-02-06 |
| 1306188669 | Nazish Khurram | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2013-03-25 |
| 1730476623 | Anthia Philpmina Dasari | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2011-06-30 |
| 1962712166 | Flower Mound Hospital Partners, LLC | Clinic/Center | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2010-10-21 |
| 1962717454 | Jayalakshmi Kuseladass | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2010-08-10 |
| 1134384118 | Mona Khalid | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2008-07-18 |
| 1154583755 | Roberto Antonio Lopez-freeman | Emergency Medicine | 4400 Long Prairie Rd, Emergency Department, Flower Mound, TX 75028-1892 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
| 1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
| 1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
| 1912450578 | Jeannie Jin Wang | Dentist | 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 | 2016-08-01 |
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
| 1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
| 1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
| Find all providers in zip 75028 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063943447 | Evan Lynn Hundley | Internal Medicine | 3421 Bradford Dr, Flower Mound, TX 75028-7700 | 2017-03-27 |
| 1932469293 | Joseph Jason Cano | Internal Medicine | 4370 Medical Arts Dr Ste 295, Flower Mound, TX 75028 | 2012-05-21 |
| 1164797304 | Randell Lynn Mckenzie Sr. | Internal Medicine | 3604 Alberta Ln, Flower Mound, TX 75022-2957 | 2012-03-21 |
| 1982632857 | Carl L Russell | Internal Medicine | 2550 Cross Timbers Rd Ste 116, Flower Mound, TX 75028-2740 | 2006-06-29 |
| 1841226172 | Jelena Bucan Kurepa | Internal Medicine | 4921 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2782 | 2006-06-26 |
| 1831176221 | Manoj K Patel | Internal Medicine | 2281 Olympia Dr, Ste 100, Flower Mound, TX 75028-1857 | 2005-12-27 |
| 1649893017 | North Texas Integratged Healthcare | Internal Medicine | 4110 Fm 407 Ste 200, Flower Mound, TX 75077-7216 | 2020-05-20 |
| 1578999769 | Bindu Nair Md Pllc | Internal Medicine | 3100 Peters Colony Rd, Flower Mound, TX 75022-2949 | 2013-09-19 |
| 1306188669 | Nazish Khurram | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2013-03-25 |
| 1730476623 | Anthia Philpmina Dasari | Internal Medicine | 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | 2011-06-30 |
| Find all providers in FLOWER MOUND | ||||
| City | FLOWER MOUND |
| Zip Code | 75028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.