Koganti, Madhuri Latha
Koganti, Madhuri Latha is an individual health care provider with primary practice located at 231 W Southlake Blvd Ste 100 , Southlake TX 76092-7037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Koganti, Madhuri Latha can be contacted via phone (817) 865-6280.Contact Information
Primary practice address
231 W Southlake Blvd Ste 100
Southlake TX 76092-7037
Phone: (817) 865-6280
Fax: (817) 865-6287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | P0248 | Texas |
Profile Details
| NPI number | 1467557124 |
|---|---|
| LBN Legal business name | Koganti, Madhuri Latha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 18th, 2023 - about last year |
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 | 1467557124 | NPPES |
| Texas | MEDICAID | 288388601 |
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