Musunuru, Sandeepa

Musunuru, Sandeepa is an individual health care provider with primary practice located at 2405 W Missouri Ave , Midland TX 79701-6800. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Musunuru, Sandeepa can be contacted via phone (432) 697-1061.

Contact Information

Primary practice address
2405 W Missouri Ave Midland TX 79701-6800
Phone: (432) 697-1061
Fax: (432) 697-7089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X P0260 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X P0260 Texas

Profile Details

NPI number 1710942917
LBN Legal business name Musunuru, Sandeepa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 15th, 2015 - about 10 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710942917 NPPES
Texas Other 8CW789 BLUE CROSS
Texas Other TXB140254 BLUE CROSS
Texas MEDICAID 286298901 BLUE CROSS

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