Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susrutha Thanam, MD

Individual provider Psychiatry Physician · NPI 1174822415

Susrutha Thanam, MD is a Psychiatry in Austin, Texas. Qualified in 2001, 25 years ago. Practices with Denton County Mhmr Center, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
25
Licensed in
TX
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4110 Guadalupe St Austin State Hospital
Austin, TX 78751-4223
Phone: (512) 419-2148
Fax: (512) 419-2163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2519 Scripture St, Denton, TX 76201-2324 — (940) 381-5000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence Q2860 (TX)

Record details

NPI number1174822415
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2011
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address4110 Guadalupe St, Austin State Hospital, Austin, TX 78751-4223

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Denton County Mhmr Center — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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