PAVANI SAMUDRALA MD – NPI #1487184644
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

PAVANI SAMUDRALA is a physician located in HOUSTON, TX. NPPES has assigned the NPI number 1487184644 to PAVANI SAMUDRALA on June 19, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name PAVANI GOLLA. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 8 years ago on Feb 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAVANI SAMUDRALA below.

NPI Profile for
PAVANI SAMUDRALA

NPI Number
1487184644
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
PAVANI SAMUDRALA
Former Name: PAVANI GOLLA
Credentials
MD
Primary location
707 BERNTER AVENUE
MD ANDERSON CANCER CENTER
HOUSTON, TX 77030
Phone: (713) 792-1631 Fax:
Mailing address
1400 PRESSLER ST. FCT-13 5081
HOUSTON, TX 77030
Phone: (832) 882-8063 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
TX BP10058872

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.