Provider Demographics
NPI:1124063714
Name:DUVUURI, VANI (MD)
Entity type:Individual
Prefix:DR
First Name:VANI
Middle Name:
Last Name:DUVUURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 TALON DR
Mailing Address - Street 2:SUITE# 400
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-9706
Mailing Address - Country:US
Mailing Address - Phone:972-231-3129
Mailing Address - Fax:972-231-3067
Practice Address - Street 1:3200 TALON DR
Practice Address - Street 2:SUITE# 400
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-9706
Practice Address - Country:US
Practice Address - Phone:972-231-3129
Practice Address - Fax:972-231-3067
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4355207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00357HMedicare PIN
TXH73519Medicare UPIN