Reddy, Dayakar Kamjula
Reddy, Dayakar Kamjula is an individual health care provider with primary practice located at 1301 Pennsylvania Ave , Fort Worth TX 76104-2122. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Reddy, Dayakar Kamjula can be contacted via phone (817) 250-2000.Contact Information
Primary practice address
1301 Pennsylvania Ave
Fort Worth TX 76104-2122
Phone: (817) 250-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 242095 | New York |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 242095 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 242095 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | U5498 | Texas |
Profile Details
| NPI number | 1417026675 |
|---|---|
| LBN Legal business name | Reddy, Dayakar Kamjula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Apr 3rd, 2024 - about 2 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 | 1417026675 | NPPES |
| Pennsylvania | MEDICAID | 103154200 | |
| Pennsylvania | MEDICAID | 02830106 |
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