Tondapu, Prasanthi
Tondapu, Prasanthi is an individual health care provider with primary practice located at 1141 Keller Pkwy Suite C, Keller TX 76248-1627. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Tondapu, Prasanthi can be contacted via phone (469) 930-4655.Contact Information
Primary practice address
1141 Keller Pkwy Suite C
Keller TX 76248-1627
Phone: (469) 930-4655
Fax: (877) 776-3240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M5547 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | M5547 | Texas |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | M5547 | Texas |
Profile Details
| NPI number | 1023210382 |
|---|---|
| LBN Legal business name | Tondapu, Prasanthi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Mar 22nd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023210382 | NPPES |
| Texas | Other | 112874604 | MEDICAID GROUP TPI |
| Texas | MEDICAID | 213102101 | MEDICAID GROUP TPI |
| Texas | Other | 213102105 | MEDICAID GROUP TPI |
| Texas | MEDICAID | 213102106 | MEDICAID GROUP TPI |
| Texas | Other | P01119012 | MEDICAID GROUP TPI |
| Texas | MEDICAID | 213102104 | MEDICAID GROUP TPI |
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