Provider Demographics
NPI:1780694026
Name:DESILVA, NIRUPAMA KAKARLA (MD)
Entity type:Individual
Prefix:DR
First Name:NIRUPAMA
Middle Name:KAKARLA
Last Name:DESILVA
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:UT SOUTHWESTERN OB-GYN 5323 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9302
Mailing Address - Country:US
Mailing Address - Phone:214-648-3281
Mailing Address - Fax:214-648-8066
Practice Address - Street 1:2350 N STEMMONS FWY STE 5200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-2700
Practice Address - Country:US
Practice Address - Phone:214-456-9099
Practice Address - Fax:214-456-2230
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24772207V00000X
TXL6451207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200089780BMedicaid
OKH93419Medicare UPIN