Sridhar, Pandu Ranga

Sridhar, Pandu Ranga is an individual health care provider with primary practice located at 36065 Santa Fe Ave , Fort Hood TX 76544-5060. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Sridhar, Pandu Ranga can be contacted via phone (254) 553-5899.

Contact Information

Primary practice address
36065 Santa Fe Ave Fort Hood TX 76544-5060
Phone: (254) 553-5899
Fax: (254) 287-7690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 01067444A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01067444A Indiana

Profile Details

NPI number 1215266739
LBN Legal business name Sridhar, Pandu Ranga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2009
Last updated Mar 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215266739 NPPES
Indiana MEDICAID 200971930

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