SAMATHA CHANDUPATLA


Address: 1000 W Cannon St, Fort Worth, TX 76104-3029
Phone: 8178775858

SAMATHA CHANDUPATLA (NPI# 1114918356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114918356
Entity Type Individual
Full Name SAMATHA CHANDUPATLA
Credential MD
Practice Address 1000 W Cannon St
Fort Worth
TX 76104-3029
Practice Telephone 8178775858
Practice Fax Number 8178771308
Mailing Telephone 8178775858
Mailing Fax Number 8178771308
Enumeration Date 2005-11-04
Last Update Date 2014-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
M1045 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 174471602 05
TX BLUE CROSS 8U1252 01

Office Location

Street Address 1000 W CANNON ST
City FORT WORTH
State TX
Zip Code 76104-3029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295736973 Ppg Health, Pa Transplant Surgery 1000 W Cannon St, Fort Worth, TX 76104-3029 2005-08-03
1477170637 Mary Elizabeth Morgan Physician Assistant 1000 W Cannon St, Fort Worth, TX 76104-3029 2020-07-02
1518377498 Abimbola Uwoghiren Nurse Practitioner 1000 W Cannon St, Fort Worth, TX 76104-3029 2014-05-01
1992806632 Neena Bhagat Internal Medicine 1000 W Cannon St, Fort Worth, TX 76104-3029 2006-09-26
1093707887 Geethanjali Ramamurthy Internal Medicine 1000 W Cannon St, Fort Worth, TX 76104-3029 2005-08-17
1598757387 Tsr Murugan Internal Medicine 1000 W Cannon St, Fort Worth, TX 76104-3029 2005-08-17
1376535310 Lee E Anderson Internal Medicine 1000 W Cannon St, Fort Worth, TX 76104-3029 2005-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487070751 Texas Health Care, P.l.l.c. Internal Medicine 6100 Harris Pkwy Ste 260, Fort Worth, TX 76132-4101 2014-03-11
1740539196 Muhammad Omar Azam Internal Medicine 711 Pennsylyvania Ave, Fort Worth, TX 76104222 2012-08-30
1003143165 Texas Health Care, P.l.l.c. Internal Medicine 508 South Adams, Suite 102, Fort Worth, TX 76104-2151 2009-11-11
1548449663 Fysal Albaalbaki Internal Medicine 508 South Adams, Suite 102, Fort Worth, TX 76104-2151 2007-10-25
1457543902 Ntkc Management, LLC Internal Medicine 1049 Clifton St, Fort Worth, TX 76107-2628 2007-08-17
1184739849 Thomas Rajan Internal Medicine 1634 Mistletoe Blvd, Fort Worth, TX 76104-4012 2006-08-20
1932116902 Nishant B Jalandhara Internal Medicine 4420 Heritage Trace Pkwy Ste 312, Fort Worth, TX 76244-8904 2006-08-02
1700891579 Raghuveer Vanguru Internal Medicine 10700 Victoria Ash Dr, Fort Worth, TX 76244-6392 2006-07-30
1205869773 Carlos S Bahrami Internal Medicine 508 S Adams St Ste 102, Fort Worth, TX 76104-2151 2006-07-08
1184669673 Clinical Nephrology Associates, Pa Internal Medicine 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 2006-06-18
Find all providers in FORT WORTH

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City FORT WORTH
Zip Code 76104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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