Provider Demographics
NPI:1376999748
Name:MURUPUDI, SREEKANTH (MD)
Entity type:Individual
Prefix:DR
First Name:SREEKANTH
Middle Name:
Last Name:MURUPUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11535 SAINT MICHAELS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2437
Mailing Address - Country:US
Mailing Address - Phone:567-702-1110
Mailing Address - Fax:
Practice Address - Street 1:11801 SOUTH FWY
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7021
Practice Address - Country:US
Practice Address - Phone:817-568-5929
Practice Address - Fax:817-551-2586
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA161899207R00000X
TXV1849207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine