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DR. JILLY KUNJUNNY VIDYASAGARAN M.D. NPI 1629034103


NPI Information

NPI: 1629034103
Provider Name: DR. JILLY KUNJUNNY VIDYASAGARAN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
4024 BROOKHAVEN AVE
PASADENA, TX
ZIP 77504
Phone: (713) 944-2324
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DR. Jilly Kunjunny Vidyasagaran, M.D. is a pediatrics in Pasadena, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jilly Kunjunny Vidyasagaran, M.D. NPI is 1629034103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4024 BROOKHAVEN AVE
PASADENA, TX
ZIP 77504-902
Phone: (713) 944-2324
Fax: (713) 944-1539

The enumeration date for this NPI number is 4/25/2006 and was last updated on 11/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsJ2829TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F51500MEDICARE UPINTEXAS
21270928-05OTHERTEXASTHSTEPS
31270928-03MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.