Provider Demographics
NPI:1891776589
Name:ATLURU, SUSEELA D (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSEELA
Middle Name:D
Last Name:ATLURU
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 1:18955 N MEMORIAL DR
Mailing Address - Street 2:STE. 290
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4271
Mailing Address - Country:US
Mailing Address - Phone:281-446-3800
Mailing Address - Fax:281-446-4490
Practice Address - Street 1:18955 N MEMORIAL DR STE 290
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4263
Practice Address - Country:US
Practice Address - Phone:281-446-3800
Practice Address - Fax:281-446-4490
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF 7998207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097910604Medicaid
TX00D726Medicare PIN
TX097910601Medicaid