Individual
SANGEETHA PABOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1047
(512) 509-0200
(512) 509-0285
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
25MA10341600
NJ
207RR0500X
Rheumatology Physician
Primary
T3156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532497
—
TN
Enumeration date
07/18/2008
Last updated
09/13/2021
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