Koganti, Anil Kumar
Koganti, Anil Kumar is an individual health care provider with primary practice located at 3409 Worth St Suite 320, Dallas TX 75246-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Koganti, Anil Kumar can be contacted via phone (214) 820-8350.Contact Information
Primary practice address
3409 Worth St Suite 320
Dallas TX 75246-2029
Phone: (214) 820-8350
Fax: (214) 820-8355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M1842 | Texas |
Profile Details
| NPI number | 1891754131 |
|---|---|
| LBN Legal business name | Koganti, Anil Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jun 4th, 2009 - about 17 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 | 1891754131 | NPPES |
| Texas | Other | 8M2956 | BCBS |
| Texas | MEDICAID | 176308803 | BCBS |
| Texas | MEDICAID | 176308801 | BCBS |
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