● Active Type 1 · Individual

Sukanya Ambavaram, MD

Preventive Medicine·Dallas, TX· NPI 1780828772 · Enumerated 2009 · 17 years on NPI

Ambavaram is 1 of 24 preventive medicine providers in Dallas and 1 of 154 in Texas.

NPI age

17 years

Enumerated 2009-04-22

Primary specialty

Preventive Medicine

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2019-02-16

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 154 active preventive medicine providers in Texas.

NPI age

17 years

≈ at median (16 yr)

State licenses

1 state

8% of peers hold multiple states

Subspecialties

In the 33% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES

2009 2026

Where they practice

Practice location

2920 N Stemmons Fwy

Dallas, TX 75247

📞 2146302331

Mailing address

9719 Hickory St

Frisco, TX 750357151

📞 2142269491

Specialties

Allopathic & Osteopathic Physicians › Preventive Medicine

Preventive Medicine Primary

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with...

TX license #N7052 taxonomy 2083P0901X
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

TX license #N7052 taxonomy 2083P0500X

Identifiers

Type	Value	Notes
05 (TX)	219946501

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.