Individual
UMA B.R.K PAKKIVENKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 N CENTRAL EXPY STE 215, DALLAS, TX 75231-0929
(214) 396-4950
(877) 423-5360
Mailing address
9900 N CENTRAL EXPY STE 215, DALLAS, TX 75231-0929
(214) 396-4950
(877) 423-5360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101249410
VA
207R00000X
Internal Medicine Physician
N3969
TX
207RN0300X
Nephrology Physician
Primary
N3969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3127078
—
TX
Enumeration date
09/27/2007
Last updated
07/08/2021
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