Individual
SESHA S UPPALAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4901 GOLDEN TRIANGLE BLVD STE 121, FORT WORTH, TX 76244-4483
(817) 310-8881
(855) 227-7491
Mailing address
4901 GOLDEN TRIANGLE BLVD STE 121, FORT WORTH, TX 76244-4483
(817) 310-8881
(855) 227-7491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD432585
PA
207R00000X
Internal Medicine Physician
N8467
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
N8467
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283355005
—
TX
01
—
283355006
MEDICAID - OTHER
TX
01
—
336133YL7A
MEDICARE - OTHER COUNTY
TX
Enumeration date
01/31/2008
Last updated
02/27/2023
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