Individual
PRASANTHI TONDAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3311 YUCCA DR STE 100, FLOWER MOUND, TX 75028-2743
(469) 930-4655
(877) 776-3240
Mailing address
4505 BRENDA DR, FLOWER MOUND, TX 75022-1001
(469) 930-4655
(877) 776-3240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M5547
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M5547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112874604
MEDICAID GROUP TPI
TX
05
—
213102101
—
TX
05
—
213102104
—
TX
01
—
213102105
MEDICAID OTHER
TX
05
—
213102106
—
TX
01
—
P01119012
RAILROAD MEDICARE
TX
Enumeration date
05/31/2007
Last updated
07/14/2025
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