Individual
DR. SRINIVASU MOPARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3555 W WHEATLAND RD, DALLAS, TX 75237-3461
(972) 709-2580
(972) 283-9387
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M8852
TX
207RX0202X
Medical Oncology Physician
Primary
M8852
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10025319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194764001
—
TX
05
—
194764002
—
TX
01
—
8AQ002
BCBS
TX
Enumeration date
05/22/2007
Last updated
11/13/2009
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