Kannaeganti, Prasad Venkata

Kannaeganti, Prasad Venkata is an individual health care provider with primary practice located at 6331 Boulevard 26 Suite 220, North Richland Hills TX 76180-1590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kannaeganti, Prasad Venkata can be contacted via phone (817) 628-0284.

Contact Information

Primary practice address
6331 Boulevard 26 Suite 220 North Richland Hills TX 76180-1590
Fax: (817) 628-0288
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X N1701 Texas

Profile Details

NPI number 1114922630
LBN Legal business name Kannaeganti, Prasad Venkata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Dec 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114922630 NPPES
Texas MEDICAID 289661501

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