Provider Demographics
NPI:1437132198
Name:DONIPARTHI, PADMAJA (MD)
Entity Type:Individual
Prefix:DR
First Name:PADMAJA
Middle Name:
Last Name:DONIPARTHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PADMAJA
Other - Middle Name:
Other - Last Name:BUDARAPU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 208354
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-8354
Mailing Address - Country:US
Mailing Address - Phone:512-485-7208
Mailing Address - Fax:844-364-8678
Practice Address - Street 1:3201 S AUSTIN AVE STE 265
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7641
Practice Address - Country:US
Practice Address - Phone:855-876-7246
Practice Address - Fax:855-277-5070
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-26
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI36673-020208VP0014X
TXT5872208VP0014X
WI36673207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2J2649OtherTEXAS MEDICARE PTAN
TX2J2650OtherTEXAS MEDICARE PTAN
WI32349700Medicaid