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NPI Code Detail

MEDICARE: DR. ANUPAMA Y GOTIMUKULA MD

MEDICARE:  DR. ANUPAMA Y GOTIMUKULA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP3000XPediatric Anesthesiology PhysicianM7224TX
2207L00000XAnesthesiology PhysicianM7224TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1190047406OTHERTXCSHCN
28BX289OTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003937756
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANUPAMA Y GOTIMUKULA MD
Provider Business Mailing Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-648-8041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 01/29/2026

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Directions to “ DR. ANUPAMA Y GOTIMUKULA MD” Practice Location

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