Provider Demographics
NPI:1578391702
Name:AURA ENDOCRINE AND DIABETES PLLC
Entity type:Organization
Organization Name:AURA ENDOCRINE AND DIABETES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SINDHU
Authorized Official - Middle Name:BASAVAIAH
Authorized Official - Last Name:IGALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, ECNU
Authorized Official - Phone:214-216-1359
Mailing Address - Street 1:4947 CAPE CORAL DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7234
Mailing Address - Country:US
Mailing Address - Phone:214-216-1359
Mailing Address - Fax:
Practice Address - Street 1:3617 SHIRE BLVD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-2300
Practice Address - Country:US
Practice Address - Phone:214-216-1359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty