Provider Demographics
NPI:1093345209
Name:DR MURTHY CHAMARTHY MD PLLC
Entity Type:Organization
Organization Name:DR MURTHY CHAMARTHY MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MURTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-667-6122
Mailing Address - Street 1:112 DEERFIELD CT
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2906
Mailing Address - Country:US
Mailing Address - Phone:646-339-3564
Mailing Address - Fax:
Practice Address - Street 1:17950 PRESTON RD STE 120
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5793
Practice Address - Country:US
Practice Address - Phone:469-667-6122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty