DR. TERA THOMAS KAVILAVEETTIL (NPI# 1710508593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710508593 |
| Entity Type | Individual |
| Full Name | DR. TERA THOMAS KAVILAVEETTIL |
| Credential | DO |
| Practice Address |
301 University Blvd. Galveston TX 77555-1119 |
| Mailing Address |
301 University Blvd Galveston TX 77555-0354 |
| Practice Telephone | 4097723695 |
| Practice Fax Number | 4097723680 |
| Mailing Telephone | 4097470534 |
| Mailing Fax Number | 4097470721 |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | BP10072183 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
301 UNIVERSITY BLVD. |
| City | GALVESTON |
| State | TX |
| Zip Code | 77555-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659321412 | Suppiah Balachandran | Specialist | 301 University Blvd., Galveston, TX 77555-1022 | 2006-05-11 |
| 1205451697 | Vern Tien-yo Huang | Internal Medicine | 301 University Blvd., Galveston, TX 77555-0570 | 2020-06-10 |
| 1164043220 | Jennifer Nguyen | Pediatrics | 301 University Blvd., Galveston, TX 77555-0354 | 2020-04-29 |
| 1275018376 | Reagan Dylan Davis | Physician Assistant | 301 University Blvd., Galveston, TX 77555-0521 | 2018-09-25 |
| 1447744487 | Karunya Jayasimha | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2018-06-21 |
| 1932699972 | Sara Medsker | Pediatrics | 301 University Blvd., Galveston, TX 77555 | 2018-05-15 |
| 1427547165 | Keithlee Gael Orpilla Dolinta | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2018-05-08 |
| 1306367008 | Mary Elizabeth Gomez | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2017-07-03 |
| 1013447788 | Tran Quoc Tuan | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2017-06-15 |
| 1508396284 | Van Dinh Truong | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2017-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1700362670 | Nidal Alhosainat | Internal Medicine | 301 University Blvd, 4.200 John Sealy Annex, Galveston, TX 77555 | 2018-07-13 |
| 1275915282 | Murtaza Mazhar | Internal Medicine | 301 University Blvd Cardiovascular Disease, Galveston, TX 77555 | 2015-06-25 |
| 1124469531 | Nisarg Shaileshbhai Shah | Internal Medicine | 400 Harborside Dr Suite #100, Endocrinology, Galveston, TX 77555 | 2013-07-13 |
| 1912260860 | Mohammed Fathi Zaidan | Internal Medicine | University of Texas Medical, 301 University Boulevard, Galveston, TX 77555 | 2012-06-15 |
| 1639465925 | Justin Blinn | Anesthesiology | 301 University Blvd # 2-a, Galveston, TX 77555 | 2011-06-24 |
| 1255532982 | Miguel Mauricio Cabada Samame | Internal Medicine | 301 University Boulevard Rt 0435, Galveston, TX 77555 | 2007-05-30 |
| 1154945608 | Elliot Blankespoor | Anesthesiology | 301 University Boulevard, 5.504 Jennie Sealy Hospital, Galveston, TX 77555 | 2020-06-01 |
| 1174144216 | Mariam Choudhry Khan | Family Medicine | 301 University Blvd, Galveston, TX 77555 | 2020-04-29 |
| 1437713633 | Renae Bridges | Nurse Practitioner | 301 University Blvd, Galveston, TX 77555 | 2019-04-24 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952966079 | Aishwarya Taneja | Pediatrics | 301 University, Route 1119, Galveston, TX 77555-1119 | 2019-05-03 |
| 1740569946 | Avanikkha Shri Elayappen | Pediatrics | Utmb Childrens Hospital 3 230, 301 University Blvd, Galveston, TX 77555-0354 | 2011-08-05 |
| 1568766897 | Shivani S Tripathi | Pediatrics | Utmb Pediatrics, 301 University Blvd, Galveston, TX 77555-0351 | 2010-12-30 |
| 1487734729 | Sapna B Sutaria | Pediatrics | Utmb Department of Pediatrics, 3.300 Children's Hospital, 301 University Blvd., Galveston, TX 77555-0351 | 2006-10-17 |
| 1326130162 | Patricia S Beach | Pediatrics | 400 Harborside Dr, Galveston, TX 77555-0001 | 2006-09-29 |
| 1790776326 | William Lawrence Mize | Pediatrics | 400 Harborside Drive, Galveston, TX 77555-0001 | 2005-11-02 |
| 1972111284 | Sara Ali | Pediatrics | 301 University Blvd, Galveston, TX 77555-5302 | 2020-07-22 |
| 1609494186 | Manasa Sudheendra | Pediatrics | 301 University Blvd, Galveston, TX 77555-1119 | 2020-07-10 |
| 1275159402 | Paul Kanaby | Pediatrics | 301 University Blvd, Galveston, TX 77555-0354 | 2020-06-23 |
| 1780200311 | Cynthia Mahesh | Pediatrics | 301 University Blvd, Galveston, TX 77555-5302 | 2020-06-19 |
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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.