Pandilipalli, Venkata R
Pandilipalli, Venkata R is an individual health care provider with primary practice located at 300 W Rosedale St , Fort Worth TX 76104-4856. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Pandilipalli, Venkata R can be contacted via phone (817) 335-2202.Contact Information
Primary practice address
300 W Rosedale St
Fort Worth TX 76104-4856
Phone: (817) 335-2202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L6559 | Texas |
Profile Details
| NPI number | 1437135423 |
|---|---|
| LBN Legal business name | Pandilipalli, Venkata R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | May 22nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437135423 | NPPES |
| Texas | MEDICAID | 163115202 | |
| Texas | Other | 8G8908 |
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