DR. SUDHIR THOTAKURA (NPI# 1730447756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730447756 |
| Entity Type | Individual |
| Full Name | DR. SUDHIR THOTAKURA |
| Credential | M.D. |
| Practice Address |
5026 Pool Rd Denison TX 75020-4595 |
| Mailing Address |
5012 S Us Highway 75 Ste 300 Attn Billing Denison TX 75020-4589 |
| Practice Telephone | 9034653624 |
| Practice Fax Number | 9034653973 |
| Mailing Telephone | 9034653624 |
| Mailing Fax Number | 9034653973 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | BP10043159 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Q3604 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Q3604 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 401044902 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1727 Chuckwa Dr Ste 400, Durant, OK 747012151 | 5809247096 | 5809243726 |
| 1783 Troup Hwy, Tyler, TX 757015869 | 9035952283 | 9035951063 |
| Street Address |
5026 POOL RD |
| City | DENISON |
| State | TX |
| Zip Code | 75020-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639312671 | Anna R Samuel | Nurse Practitioner | 5026 Pool Rd, Denison, TX 75020-4595 | 2009-04-07 |
| 1336649797 | Susan Deaun Handlang | Nurse Practitioner | 5026 Pool Rd, Denison, TX 75020-4595 | 2018-02-12 |
| 1992175723 | Jennifer Lynn Bishop | Nurse Practitioner | 5026 Pool Rd, Denison, TX 75020-4595 | 2015-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210161 | Claudia Perez | Counselor | 6101 Hwy 691, Denison, TX 75020 | 2020-03-18 |
| 1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
| 1598301459 | Amanda Lauren Boyle | Family Medicine | 307 King Ave, Dennison, TX 75020 | 2019-11-25 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1558844399 | Leslie Jill Wilson | Speech-Language Pathologist | 3635 Rosewood Drive, Denison, TX 75020 | 2018-09-07 |
| 1487175758 | Amanda Hoyer | Physician Assistant | 5012 S Us Highway 75 Ste 150, Denison, TX 75020 | 2017-06-27 |
| 1679006076 | Michael Slack | Family Medicine | 5016 N Us Hwy 75, Denison, TX 75020 | 2017-04-04 |
| 1184171597 | Tanya Paschen | Nurse Practitioner | 1300 Tx-91, Denison, TX 75020 | 2016-09-01 |
| 1992154553 | Rhonda Howery | Durable Medical Equipment & Medical Supplies | 1001 W. Main St., Suite 101, Denison, TX 75020 | 2016-06-05 |
| 1801255088 | Denison Dental Pllc | Dentist | 3515 West Fm 120, Denison, TX 75020 | 2016-02-17 |
| Find all providers in zip 75020 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
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| 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.