South Dallas Infusion Center, PA

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

SOUTH DALLAS INFUSION CENTER, PA

Practice address

2727 Bolton Boone Dr Ste 109a
Desoto, TX 75115-2019

Phone

(972) 283-2370

Fax

(972) 588-1041

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mahesh B Kottapalli, MDNPI 1245252733

Title

President

Phone

(972) 283-2370

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahesh B Kottapalli, MD

  • Infectious Disease Physician
  • Desoto, TX
  • NPI 1245252733
  NPD Authorized official

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1558640938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678057",
            "telephone_number": "972-283-2370",
            "fax_number": "972-588-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR STE 109A",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-283-2370",
            "fax_number": "972-588-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DALLAS INFUSION CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "KOTTAPALLI",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-283-2370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desoto",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2727 Bolton Boone Dr Ste 109A",
            "city": "DeSoto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751152019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheryl A. Snyder, M.D.
• William Lewis Snyder Jr., R.T.(R)(ARRT)
• Sofiya Rehman
• Soh of Texas Samson Liu PLLC (MG Family Dentistry)
• Soh of Texas Samson Liu PLLC
• Southwest Family Medical Clinic
• Southwest LTC Park Manor II LTD (Dba Park Manor Healthcare)
• Southwest Personal Assistance Services LLC (Southwest Personal Assistance Services)
• Sow Graceful Chiropractic LLC
• Natalie Sowell

• Infusion Therapy Clinic/Center in Desoto, TX
• Providers in Desoto, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.