Individual provider Active NPI

Sridevi Chaganti

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1235293952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.088492 Issued in OH
Practice address
7575 Frankford Rd
# 326
Dallas, TX 75252-6459
Phone
(972) 398-9638
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.088492 OH Primary

Addresses

Primary practice location

7575 Frankford Rd
# 326
Dallas, TX 75252-6459

Mailing address

7575 Frankford Rd
326
Dallas, TX 75252-6459
Phone (972) 398-9638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35.088492OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235293952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 FRANKFORD RD",
            "address_2": "326",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526459",
            "telephone_number": "972-398-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 FRANKFORD RD",
            "address_2": "# 326",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526459",
            "telephone_number": "972-398-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGANTI",
        "first_name": "SRIDEVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.088492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.