DR. PREMALATHA VINDHYA (NPI# 1952355166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952355166 |
| Entity Type | Individual |
| Full Name | DR. PREMALATHA VINDHYA |
| Other Name | PREMA L. VINDHYA |
| Credential | M.D. |
| Practice Address |
2479 E 11th St Odessa TX 79761-4232 |
| Mailing Address |
2101 N Midland Dr Ste 9 Midland TX 79707-5593 |
| Practice Telephone | 4323331901 |
| Practice Fax Number | 4325205914 |
| Mailing Telephone | 4326990255 |
| Mailing Fax Number | 4325205914 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G7739 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | G7739 | 01 |
| TX | STATE FARM | N59U | 01 |
| TX | BLUE CROSS | 00G812 | 01 |
| TX | 033527501 | 05 | |
| TX | AETNA | 45 21 529 | 01 |
| TX | WAUSAU | 72145673 | 01 |
| TX | FIRST CARE | 126180100 | 01 |
| TX | RAILROAD MEDICARE | 070006346 | 01 |
| TX | CENTRAL STATES SOUTHEAST | 820060 | 01 |
| Street Address |
2479 E 11TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164710570 | Prema L. Vindhya, M.d., P. A. | Specialist | 2479 E 11th St, Odessa, TX 79761-4232 | 2011-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427473073 | State Wide Dermatology LLC | Dermatology | 17121 Rainbow Ter, Odessa, FL 33556-2107 | 2014-02-19 |
| 1457532442 | St. Matthew Dermatology Clinic, P.a. | Dermatology | 808 Tower Dr Ste 3, Odessa, TX 79761-4256 | 2007-11-18 |
| 1154309052 | Renato Marquez Oracion | Dermatology | 808 Tower Dr, Suite 3, Odessa, TX 79761-4239 | 2006-01-03 |
| 1750808341 | Nathan Rosso | Dermatology | 4040 Medical Park Dr, Odessa, TX 79765-2233 | 2017-08-24 |
| 1669629101 | Ritchie Oliver Rosso Jr. | Dermatology | 4040 Medical Park Dr, Odessa, TX 79765-3301 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.