MEDICARE: DR. SOWJANYA GUNUKULA

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	1223G0001X	General Practice Dentistry	12013440A	IN
2	1223G0001X	General Practice Dentistry	38945	TX

General Provider Information

NPI Number	:	1184242364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOWJANYA GUNUKULA

Provider Business Mailing Address
First Line	:	2704 CROSS TIMBERS RD STE 108
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-2700
Country	:	US
Telephone Number	:	469-933-0073
Fax Number	:	469-933-0071

Provider Business Practice Location Address
First Line	:	2704 CROSS TIMBERS RD STE 108
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-2700
Country	:	US
Telephone Number	:	469-933-0073
Fax Number	:	469-933-0071

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

Provider Enumeration Date	:	07/14/2020
Last Update Date	:	03/20/2026

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Directions to “ DR. SOWJANYA GUNUKULA ” Practice Location

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