MEDICARE: MRS. CHANDRALATHA THOTA 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	207Q00000X	Family Medicine Physician	E7517	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8F22098	OTHER		MEDICARE PTAN NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386735348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHANDRALATHA THOTA MD

Provider Business Mailing Address
First Line	:	906 WAYSIDE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-2518
Country	:	US
Telephone Number	:	713-923-6627
Fax Number	:	713-923-9383

Provider Business Practice Location Address
First Line	:	906 WAYSIDE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-2518
Country	:	US
Telephone Number	:	713-923-6627
Fax Number	:	713-923-9383

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	10/01/2025

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Directions to “ MRS. CHANDRALATHA THOTA MD” Practice Location

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