Provider Demographics
NPI:1679067441
Name:JOGINPALLI, SHARANYA N/A (MD)
Entity type:Individual
Prefix:DR
First Name:SHARANYA
Middle Name:N/A
Last Name:JOGINPALLI
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 1:1102 BATES AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2620
Mailing Address - Country:US
Mailing Address - Phone:832-824-1319
Mailing Address - Fax:832-825-3837
Practice Address - Street 1:3601 4TH ST STOP 9406
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-9406
Practice Address - Country:US
Practice Address - Phone:806-743-6630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT19712080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program