Individual
DR. SUDHIR BABU THOTAKURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12228 N CENTRAL EXPY STE 210, DALLAS, TX 75243-3744
(214) 361-3300
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
MD61521995
WA
207RI0011X
Interventional Cardiology Physician
Primary
Q3604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401044902
—
TX
Enumeration date
04/27/2012
Last updated
05/18/2025
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