Provider Demographics
NPI:1942565403
Name:NANJAPPA, SOWMYA (MD)
Entity type:Individual
Prefix:DR
First Name:SOWMYA
Middle Name:
Last Name:NANJAPPA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4100 W 15TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5826
Mailing Address - Country:US
Mailing Address - Phone:469-408-9558
Mailing Address - Fax:888-393-5922
Practice Address - Street 1:4100 W 15TH ST STE 110
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5826
Practice Address - Country:US
Practice Address - Phone:469-408-9558
Practice Address - Fax:888-393-5922
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV30918207RI0200X
VA0101269105207RI0200X
NMTM2022-0111207RI0200X
NC2020-00720207RI0200X
TXS4198207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease