Provider Demographics
NPI:1710322201
Name:ANUMUDU, SAMAYA JAVED (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMAYA
Middle Name:JAVED
Last Name:ANUMUDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAMAYA
Other - Middle Name:JAVED
Other - Last Name:QURESHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7200 CAMBRIDGE STREET, A10-194, MS:BCM903
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-5808
Mailing Address - Fax:
Practice Address - Street 1:7200 CAMBRIDGE STREET, A10-194, MS:BCM903
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-5808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6332207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine