Provider Demographics
NPI:1447356464
Name:DONIPARTHI, VENKATALAKKSHMI (MD)
Entity type:Individual
Prefix:
First Name:VENKATALAKKSHMI
Middle Name:
Last Name:DONIPARTHI
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 1:2909 N BUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-4861
Mailing Address - Country:US
Mailing Address - Phone:972-502-4000
Mailing Address - Fax:214-932-7534
Practice Address - Street 1:9941 LINGO LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-3349
Practice Address - Country:US
Practice Address - Phone:972-502-4100
Practice Address - Fax:214-932-7534
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN43852084P0804X
NC2004012032084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902916Medicaid
149510Medicare UPIN
2050713Medicare ID - Type Unspecified