Provider Demographics
NPI:1215949169
Name:HORVIT, PADMA KROTHAPALLI (MD)
Entity type:Individual
Prefix:DR
First Name:PADMA
Middle Name:KROTHAPALLI
Last Name:HORVIT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:12501 HYMEADOW DR
Mailing Address - Street 2:BUILDING 1 SUITE C
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2263
Mailing Address - Country:US
Mailing Address - Phone:512-258-2556
Mailing Address - Fax:512-258-8408
Practice Address - Street 1:12501 HYMEADOW DR
Practice Address - Street 2:BUILDING 1 SUITE C
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2263
Practice Address - Country:US
Practice Address - Phone:512-258-2556
Practice Address - Fax:512-258-8408
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2010-06-12
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Provider Licenses
StateLicense IDTaxonomies
TXJ4218207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113475103Medicaid
TX0058DPOtherBCBS
TXG52267Medicare UPIN
TX0058DPOtherBCBS