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Deactivated NPI 1235110420 Deactivated / Inactive NPI Male Practitioner

Dr. Vymutt Gururaj , MD

Pediatrics • Lubbock, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Vymutt Gururaj has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2005
NPI Deactivation Date August 24, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Vymutt Gururaj, MD was a registered Pediatrics practicing in Lubbock, TX. Throughout an active medical career spanning 12 years, Dr. Gururaj provided care at the practice location at 3601 4TH ST until profile deactivation on 2017-08-24.

Practice Location & Contact Primary Location

Practice Address

3601 4th St
Suite 4b174

Lubbock, TX 794300002

Telephone 8067437337
Fax 8067432314
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
94 Specialists

Practicing in Lubbock, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX F3483

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1043403249

Doctor of Medicine (M.D.)

Dr. Golder Wilson , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1063402840

Doctor of Medicine (M.D.)

NPI 1124123161

Doctor of Medicine (M.D.)

Dr. Shreya Uppala , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1134969843

Doctor of Medicine (M.D.), Master of Public Health

NPI 1306007083

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Douthit , PhD

Marriage & Family Therapist

NPI 1306837992

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 24, 2017

Record deactivated on August 24, 2017

NPI Profile Active July 12, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 12, 2007

Registered at 3601 4TH ST, SUITE 4B174, LUBBOCK, TX 794300002 (Tel: 8067437337)

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Updated Business Mailing Address July 12, 2007

Registered at PO BOX 5865, LUBBOCK, TX 794085865 (Tel: 8067432898)

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Provider Name / Credentials Updated July 12, 2007

Recorded as VYMUTT GURURAJ, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2007

Pediatrics (License #F3483 in TX)

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Initial NPI Registration & Enumeration November 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235110420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: July 12, 2007
Deactivation Date: August 24, 2017

Mailing Address

Po Box 5865

Lubbock, TX 794085865

Phone: 8067432898

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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