Provider Demographics
NPI:1326143090
Name:PARTHASARATHY, URMILA (DO)
Entity Type:Individual
Prefix:
First Name:URMILA
Middle Name:
Last Name:PARTHASARATHY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 SETON CENTER PARKWAY
Mailing Address - Street 2:SUITE 215-CREDENTIALING
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5785
Mailing Address - Country:US
Mailing Address - Phone:512-231-5548
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:10401 ANDERSON MILL RD
Practice Address - Street 2:SUITE 110B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2581
Practice Address - Country:US
Practice Address - Phone:512-250-5571
Practice Address - Fax:512-406-7300
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208711609Medicaid
TX83N838OtherBCBS
TX208711604Medicaid
TX208711608Medicaid
TX208711605Medicaid
TX208711603Medicaid
TX208711605Medicaid
TX208711603Medicaid
TXTXB117268Medicare PIN
TXTXB117876Medicare PIN