Samy, Kannan Pudur

Samy, Kannan Pudur is an sole proprietor health care provider with primary practice located at 909 9Th Ave Ste 201 , Fort Worth TX 76104-3916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Samy, Kannan Pudur can be contacted via phone (817) 334-0196.

Contact Information

Primary practice address
909 9Th Ave Ste 201 Fort Worth TX 76104-3916
Phone: (817) 334-0196
Fax: (833) 978-1159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X U7269 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X U7269 Texas

Profile Details

NPI number 1063706992
LBN Legal business name Samy, Kannan Pudur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2011
Last updated Feb 13th, 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.

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