Sangeetha Pabolu
Rheumatology
425 University Blvd
Round Rock
, Texas 78665-1047
Sangeetha Pabolu
Rheumatology
425 University Blvd
Round Rock
, Texas 78665-1047
(254) 724-2111
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Sangeetha Pabolu
- Po Box 844658
- Dallas, TX
- Zip : 75284-4658
- Phone : (254) 724-2111
Second Address
- Sangeetha Pabolu
- 425 University Blvd
- Round Rock, TX
- Zip : 78665-1047
- Fax : (512) 509-0285
- Phone : (512) 509-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RR0500X | Rheumatology | 25MA10341600 | NJ |
| Y | 207RR0500X | Rheumatology | T3156 | TX |
National Provider Identifier
| NPI | 1093970022 |
|---|---|
| Provider Name | Sangeetha Pabolu |
| First Address | Dallas, TX 75284-4658 |
| Second Address | Round Rock, TX 78665-1047 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2008 |
| Last Update Date | 13/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1532497 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.