Provider Demographics
NPI:1639984073
Name:PASUPULETI, SAISINDURA (DC, MS)
Entity type:Individual
Prefix:DR
First Name:SAISINDURA
Middle Name:
Last Name:PASUPULETI
Suffix:
Gender:F
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 RIVER FERN AVE APT 2456
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3003
Mailing Address - Country:US
Mailing Address - Phone:301-633-9731
Mailing Address - Fax:
Practice Address - Street 1:1750 N COLLINS BLVD STE 208
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3625
Practice Address - Country:US
Practice Address - Phone:469-917-9208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor