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NPI Code Detail

MEDICARE: NISHITA SRIPATHI DO

MEDICARE: NISHITA SRIPATHI DO
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
1208D00000XGeneral Practice Physician0102209750VA

General Provider Information

NPI Number : 1871346072
Entity Type Code : Individual
Provider Name (Legal Business Name) : NISHITA SRIPATHI DO
Provider Business Mailing Address
First Line : 5935 W HAUSMAN RD UNIT 43
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-0005
Country : US
Telephone Number : 770-695-1996
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-4141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 12/12/2025

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Directions to “ NISHITA SRIPATHI DO” Practice Location

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