MEDICARE: SUSHMA VEMULAPALLI 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
1	207R00000X	Internal Medicine Physician	M6439	TX
2	207RH0003X	Hematology & Oncology Physician	M6439	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01547627	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154510790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSHMA VEMULAPALLI MD

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	972-234-2987

Provider Business Practice Location Address
First Line	:	3327 RESEARCH PLZ
Second Line	:	STE 102
City	:	SAN ANTONIO
State	:	TX
Zip	:	78235-5155
Country	:	US
Telephone Number	:	210-337-4494
Fax Number	:	210-337-4651

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	01/28/2016

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Directions to “ SUSHMA VEMULAPALLI MD” Practice Location

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