Provider Demographics
NPI:1669642799
Name:TALLAPUREDDY, SAMEERA (MD)
Entity type:Individual
Prefix:
First Name:SAMEERA
Middle Name:
Last Name:TALLAPUREDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMEERA
Other - Middle Name:
Other - Last Name:LAKIREDDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1512 TEASLEY LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-7282
Mailing Address - Country:US
Mailing Address - Phone:940-566-5010
Mailing Address - Fax:940-382-0980
Practice Address - Street 1:931 STATE HIGHWAY 121 APT 2100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-1182
Practice Address - Country:US
Practice Address - Phone:972-722-7860
Practice Address - Fax:972-295-9600
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2233207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXR2233OtherLICENSE