Chunduri, Krishnababu
Chunduri, Krishnababu is an sole proprietor health care provider with primary practice located at 713 Grainger Street , Fort Worth TX 76104-7400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Chunduri, Krishnababu can be contacted via phone (817) 336-3968.Contact Information
Primary practice address
713 Grainger Street
Fort Worth TX 76104-7400
Phone: (817) 336-3968
Fax: (817) 336-3917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G0378 | Texas |
Profile Details
| NPI number | 1154316537 |
|---|---|
| LBN Legal business name | Chunduri, Krishnababu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Oct 10th, 2011 - about 13 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 | 1154316537 | NPPES |
| Texas | MEDICAID | 127931703 | |
| Texas | Other | C14487 | |
| Texas | Other | 00TE62 |
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