Provider Demographics
NPI:1720059488
Name:BADIGA, S MURTHY (MD)
Entity Type:Individual
Prefix:
First Name:S
Middle Name:MURTHY
Last Name:BADIGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SRIRAMACHANDRA
Other - Middle Name:MURTHY
Other - Last Name:BADIGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6139
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6139
Mailing Address - Country:US
Mailing Address - Phone:956-362-2171
Mailing Address - Fax:956-362-2699
Practice Address - Street 1:902 S AIRPORT DR
Practice Address - Street 2:SUITE 6
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6644
Practice Address - Country:US
Practice Address - Phone:956-362-3636
Practice Address - Fax:956-362-2699
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5254207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110701306Medicaid
TX110701305Medicaid
TX276595YZ3UMedicare PIN
TX276595YNG9Medicare PIN