Individual
SUJAATA DWADASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6818 AUSTIN CENTER BLVD STE 205, AUSTIN, TX 78731-3100
(512) 344-0450
Mailing address
6210 E HWY 290 STE 240, AUSTIN, TX 78723-1144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036142635
IL
207RG0100X
Gastroenterology Physician
01099137A
IN
207RG0100X
Gastroenterology Physician
336103981
IL
207RG0100X
Gastroenterology Physician
Primary
U0768
TX
Other
Enumeration date
04/08/2014
Last updated
03/24/2026
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