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Organization
KATIKANENI S MD PA
Active
Organization
KATIKANENI S MD PA
Active
Other names
PRIME INTERNAL MEDICINE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALINI KATIKANENI MD (DIRECTOR)
(972) 739-3097
Entity
Organization
Contact information
Practice address
12200 PARK CENTRAL DR STE 189, DALLAS, TX 75251-2116
(972) 239-5445
(469) 729-6691
Mailing address
12200 PARK CENTRAL DR STE 189, DALLAS, TX 75251-2116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197841304
—
TX
Enumeration date
10/30/2019
Last updated
11/01/2021
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