Healthcare Provider Details

I. General information

NPI: 1669642799
Provider Name (Legal Business Name): SAMEERA TALLAPUREDDY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMEERA LAKIREDDY

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 STATE HIGHWAY 121 APT 2100
ALLEN TX
75013-1182
US

IV. Provider business mailing address

1512 TEASLEY LN
DENTON TX
76205-7282
US

V. Phone/Fax

Practice location:
  • Phone: 972-722-7860
  • Fax: 972-295-9600
Mailing address:
  • Phone: 940-566-5010
  • Fax: 940-382-0980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR2233
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberR2233
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: