Basic Information
| Provider Information | |||||||||
| NPI: | 1780694026 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DESILVA | ||||||||
| FirstName: | NIRUPAMA | ||||||||
| MiddleName: | KAKARLA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | UT SOUTHWESTERN OB-GYN 5323 HARRY HINES BLVD | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753909302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2146483281 | ||||||||
| FaxNumber: | 2146488066 | ||||||||
| Practice Location | |||||||||
| Address1: | 2350 N STEMMONS FWY STE 5200 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752072700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2144569099 | ||||||||
| FaxNumber: | 2144562230 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2006 | ||||||||
| LastUpdateDate: | 10/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 24772 | OK | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VG0400X | L6451 | TX | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 200089780B | 05 | OK | MEDICAID |