Pudhota, Sunitha Gudapati

Pudhota, Sunitha Gudapati is an individual health care provider with primary practice located at 309 Regency Pkwy Ste 101 , Mansfield TX 76063-5165. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Pudhota, Sunitha Gudapati can be contacted via phone (682) 400-2153.

Contact Information

Primary practice address
309 Regency Pkwy Ste 101 Mansfield TX 76063-5165
Fax: (972) 572-2228
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME94091 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD203357 Louisiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X P1484 Texas

Profile Details

NPI number 1952362980
LBN Legal business name Pudhota, Sunitha Gudapati
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated May 29th, 2019 - about 5 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 1952362980 NPPES
Texas MEDICAID 288404101
Texas Other 8DC048

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