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Sushma N Guptha

Pediatrics

Allopathic & Osteopathic Physicians

1935 Medical District Dr, Ste 109, Dallas, TX 75235-7701

PECOS Enrollment

This provider is enrolled in PECOS as SUSHMA GUPTHA.

Based on the most recent information from CMS, provider Sushma N Guptha is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1710064357
Provider Type
Individual
Full Name
Guptha, Sushma N
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/1/2006
Last Updated
2/11/2022

Contact Information

Practice Location

1935 Medical District Dr, Ste 109, Dallas, TX 75235-7701

(214) 456-2735

Unlisted Fax

Mailing Location

6008 Maple Ave, Apt 127, Dallas, TX 75235-6559

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License N3704 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License N3704 Texas

Sushma N Guptha

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Flores, Adolfo

Hayes, Julie Ann

Makanji, Vidhi S

Dallas County Hospital District

Trost, Margaret J

Lee, Judy Choy

Rajan, Divya Seetharam

Dadwani, Anum

Ocampo, Gabriela

Patel, Rima H