# SPANDAN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902332851
- **Authorized official:** PRASAD BASANI REDDI (DIRECTOR)
- **Authorized official phone:** (469) 360-1738

## Contact information

- **Practice address:** 6750 N MACARTHUR BLVD, SUITE 250, IRVING, TX 75039-2875
- **Practice address phone:** (214) 263-2627
- **Mailing address:** 7040 COMAL DR, IRVING, TX 75039-3315
- **Mailing address phone:** (469) 360-1738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | P5776 | TX | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017