MEDICARE: DR. SAISINDURA PASUPULETI D.C, M.S

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	111N00000X	Chiropractor	16362	TX

General Provider Information

NPI Number	:	1639984073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAISINDURA PASUPULETI D.C, M.S

Provider Business Mailing Address
First Line	:	215 RIVER FERN AVE APT 2456
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-3003
Country	:	US
Telephone Number	:	301-633-9731
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 N COLLINS BLVD STE 208
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-3625
Country	:	US
Telephone Number	:	469-917-9208
Fax Number	:

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

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	02/12/2025

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