Individual
JYOTSNA DONEPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1320 S UNIVERSITY DR STE 500, FORT WORTH, TX 76107-5732
(817) 321-0391
Mailing address
1320 S UNIVERSITY DR STE 500, FORT WORTH, TX 76107-5732
(817) 321-0391
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
P1635
TX
2085R0202X
Diagnostic Radiology Physician
P1635
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
P1635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121715004
—
TX
05
—
121715008
—
TX
05
—
285250104
—
TX
05
—
305112001
—
TX
01
—
752616977007
TRICARE
TX
01
—
8DG779
BCBS
TX
Enumeration date
04/09/2007
Last updated
09/24/2025
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