Provider Demographics
NPI:1447406137
Name:DONEPUDI, INDIRA (MD)
Entity Type:Individual
Prefix:
First Name:INDIRA
Middle Name:
Last Name:DONEPUDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 W OHIO AVE
Mailing Address - Street 2:GASTROENTEROLOGY
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-5946
Mailing Address - Country:US
Mailing Address - Phone:432-697-1000
Mailing Address - Fax:432-697-6000
Practice Address - Street 1:4214 ANDREWS HWY STE 203
Practice Address - Street 2:GASTROENTEROLOGY
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-4871
Practice Address - Country:US
Practice Address - Phone:432-697-1000
Practice Address - Fax:432-697-6000
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9330207R00000X, 207RT0003X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology