Individual
SRIDEVI PANCHAMUKHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
(469) 325-1093
(855) 592-0913
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-101393
IL
207V00000X
Obstetrics & Gynecology Physician
R7081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-101393
—
IL
01
—
036101393
IDPA FEE FOR SERVICE
IL
01
—
055761
HEALTH ALLIANCE
IL
01
—
422714
HEALTHLINK
IL
01
—
H12137
CHAMPVA
IL
Enumeration date
07/14/2005
Last updated
09/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us