Chandupatla, Samatha
Chandupatla, Samatha is an individual health care provider with primary practice located at 1902 Windsor Pl Ste 102 , Fort Worth TX 76110-1866. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Chandupatla, Samatha can be contacted via phone (682) 207-1700.Contact Information
Primary practice address
1902 Windsor Pl Ste 102
Fort Worth TX 76110-1866
Phone: (682) 207-1700
Fax: (682) 250-5246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M1045 | Texas |
Profile Details
| NPI number | 1114918356 |
|---|---|
| LBN Legal business name | Chandupatla, Samatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | May 29th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114918356 | NPPES |
| Texas | MEDICAID | 1114918356 | |
| Texas | Other | 8U1252 | |
| Texas | MEDICAID | 174471605 |
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