Organization
SP OBGYN ,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIDEVI PANCHAMUKHI MD (CEO)
(618) 201-0632
Entity
Organization
Contact information
Practice address
9925 GILLESPIE DR STE 2400, PLANO, TX 75025-1099
(972) 905-1550
(855) 592-0913
Mailing address
6863 ELDARICA PL, FRISCO, TX 75034-8352
(618) 201-0632
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
09/03/2025
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