NPIMap

Individual provider Active NPI

Sangeetha R Vulichi, MD

  • Obstetrics & Gynecology Physician
  • Denton, TX
National Provider Identifier
1164644423
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N2604 Issued in TX
Practice address
3321 Unicorn Lake Blvd Ste 121
Denton, TX 76210-0107
Phone
(940) 387-6248
Fax
(940) 381-1881
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT181258 PA
Obstetrics & Gynecology Physician 207V00000X N2604 TX Primary

Addresses

Primary practice location

3321 Unicorn Lake Blvd Ste 121
Denton, TX 76210-0107

Mailing address

3321 Unicorn Lake Blvd Ste 121
Denton, TX 76210-0107
Phone (940) 387-6248

Other identifiers 2

IdentifierTypeStateIssuer
218127303MedicaidTX
218127302MedicaidTX

Other names 1

  • Sangeetha R Konda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT181258PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Centers of America, LLC Current Accepting new patients
Physicians and Allied Health Professionals Group, PA Obstetrics & Gynecology Past Accepting new patients
Harris County Hospital District Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1164644423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 UNICORN LAKE BLVD STE 121",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100107",
            "telephone_number": "940-387-6248",
            "fax_number": "940-381-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 UNICORN LAKE BLVD STE 121",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100107",
            "telephone_number": "940-387-6248",
            "fax_number": "940-381-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VULICHI",
        "first_name": "SANGEETHA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT181258",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N2604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218127303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218127302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANGEETHA",
            "last_name": "KONDA",
            "middle_name": "R",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.