Provider Demographics
NPI:1265008882
Name:ADUPA, RESHMI (MD)
Entity type:Individual
Prefix:
First Name:RESHMI
Middle Name:
Last Name:ADUPA
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 1:8050 E HIGHWAY 191 STE 213
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79765-8615
Mailing Address - Country:US
Mailing Address - Phone:432-703-5379
Mailing Address - Fax:
Practice Address - Street 1:8050 E HIGHWAY 191 STE 213
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79765-8615
Practice Address - Country:US
Practice Address - Phone:432-703-5379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXV9542207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program