Mundluru, Giri D
Mundluru, Giri D is an sole proprietor health care provider with primary practice located at 844 Pennsylvania Ave Ste 110, Fort Worth TX 76104-2223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Mundluru, Giri D can be contacted via phone (817) 336-4278.Contact Information
Primary practice address
844 Pennsylvania Ave Ste 110
Fort Worth TX 76104-2223
Phone: (817) 336-4278
Fax: (817) 335-1650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | H4026 | Texas |
Profile Details
| NPI number | 1912904491 |
|---|---|
| LBN Legal business name | Mundluru, Giri D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Apr 14th, 2020 - about 4 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 | 1912904491 | NPPES |
| Texas | MEDICAID | 146634401 |
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