Suresh N. Gadasalli,M.D.,P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SURESH N. GADASALLI,M.D.,P.A.

Practice address

1940 E 42ND St
Odessa, TX 79762-5840

Phone

(432) 550-6464

Fax

(432) 552-6773

NPI assigned

Apr 3, 2007

Organization subpart

Yes

Parent organization

THE HEALTHY HEART CENTERAs reported in NPPES

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

Authorized official

Name

Sowjanya Sudesh

Title

Administrator

Phone

(432) 580-5891

Specialties & licenses 1

Addresses

Other names 1

• PERMIAN PROMPT CARE Other name

Tax ID family

Porompt Care Clinic2 organizations share this tax ID, including this one

Part of

Porompt Care Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Suresh N. Gadasalli,M.D.,P.a.

  • General Practice Physician
  • Odessa, TX
  • NPI 1043411531
  NPD tax ID

Locations

Practitioners 1

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

• Tina M Butler, P.A-C

  • Medical Physician Assistant
  • Odessa, TX
  • NPI 1154417202
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1912028010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4232",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797604232",
            "telephone_number": "432-580-5891",
            "fax_number": "432-582-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 E 42ND ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625840",
            "telephone_number": "432-550-6464",
            "fax_number": "432-552-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH N. GADASALLI,M.D.,P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALTHY HEART CENTER",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SUDESH",
        "authorized_official_first_name": "SOWJANYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-580-5891"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERMIAN PROMPT CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sunswet LLC (Sun Diagnostic Laboratory)
• Superior Ambulance
• Devi Priya Suravajjala, MD
• Suresh N Gadasalli M D P a (The Healthy Heart Center)
• Suresh N. Gadasalli,M.D.,P.a.
• Suresh Prasad MD PA (Permian Internal Medicine Associates)
• Oam Suriyamont, PHARMD
• Susan Van de Water, MD, PA
• Sushruta Surgical Associates PLLC
• Douglas Swiney, CRNA

• General Practice Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.