MEDICARE: DR. PRASAD V.R. PATURU 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	207RC0000X	Cardiovascular Disease Physician	M0991	TX

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	:	1871531434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRASAD V.R. PATURU MD

Provider Business Mailing Address
First Line	:	4325 N JOSEY LN STE 202
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4637
Country	:	US
Telephone Number	:	972-443-9900
Fax Number	:	972-443-9908

Provider Business Practice Location Address
First Line	:	4325 N JOSEY LN STE 202
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4637
Country	:	US
Telephone Number	:	972-443-9900
Fax Number	:	972-443-9908

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	07/15/2021

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