Soumya Mamidi is a Internal Medicine Physician based in Dallas, TX. Soumya Mamidi practices in Longview, TX. The NPI Number for Soumya Mamidi is 1477900496 and holds a License No. (Texas).
The current practice location address for Soumya Mamidi is 700 E Marshall Ave, Longview, TX and can be reached out via phone at 903-315-1488.
Location: 700 E Marshall Ave, Longview, TX, 75284-6098
Provider Profile Details
NPI Number
1477900496
Provider Name
Soumya Mamidi
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 E Marshall Ave, Longview, TX, 75284-6098
Phone Number
903-315-1488
Fax Number
Provider Enumeration Date
05/19/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02351974 | 01 | TX | MEDICARE RAIL ROAD |
| 406177201 | 05 | TX |
Provider Business Practice Location Address Details
Address
700 E Marshall Ave
City
State
Zip
75601-5580
Phone Number
903-315-1488
Fax Number
Provider Business Mailing Address Details
Address
700 E Marshall Ave
City
State
Zip
75601-5580
Phone Number
903-315-1488
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
S0938 (Texas)
Definition
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.
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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