Deepthi Parvataneni MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEEPTHI PARVATANENI MD PA

Practice address

6913 Camp Bowie Blvd Ste 171
Fort Worth, TX 76116-7165

Phone

(817) 731-6121

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Deepthi Parvataneni

Title

MD

Phone

(740) 645-3798

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1679168546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16524",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761620524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 171",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167165",
            "telephone_number": "817-731-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPTHI PARVATANENI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "PARVATANENI",
        "authorized_official_first_name": "DEEPTHI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "740-645-3798"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730473935",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianne Deem, MD
• Bridgette M Deem
• Patricia Ellen Deemer, LVN, ATP
• Davina Andrea Deen, PTA
• Kaitlin Deen, MS, LPC
• Susan Deering, ACNP
• Haley Lauren Dees
• Madison Danielle Dees
• John David Deetjen, PA-C
• Elizabeth Degrand, OTD, OTR

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.