Gongidi, Preetam

Gongidi, Preetam is an sole proprietor health care provider with primary practice located at 815 Pennsylvania Ave , Fort Worth TX 76104-2224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gongidi, Preetam can be contacted via phone (817) 321-0300.

Contact Information

Primary practice address
815 Pennsylvania Ave Fort Worth TX 76104-2224
Phone: (817) 321-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X OT016084 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R3089 Texas

Profile Details

NPI number 1902199185
LBN Legal business name Gongidi, Preetam
Credentials D.O., M.H.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2011
Last updated Jul 21st, 2022 - 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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