Provider Demographics
NPI:1578754750
Name:DURAISWAMY, SANGEETHAPRIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:SANGEETHAPRIYA
Middle Name:
Last Name:DURAISWAMY
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 1:7610 N STEMMONS FWY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4228
Mailing Address - Country:US
Mailing Address - Phone:214-689-5960
Mailing Address - Fax:469-713-8084
Practice Address - Street 1:4461 COIT RD STE 105
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0522
Practice Address - Country:US
Practice Address - Phone:469-980-2708
Practice Address - Fax:469-980-2712
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0740207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3295907950OtherMYUTMB 3295907950
TX208856902Medicaid