Organization
ANURADHA KANTAMANI, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANURADHA KANTAMANI M.D. (PRESIDENT)
(281) 398-5863
Entity
Organization
Contact information
Practice address
701 S FRY RD, STE 105, KATY, TX 77450-2243
(281) 398-5863
(281) 398-1430
Mailing address
701 S FRY RD, STE 105, KATY, TX 77450-2243
(281) 398-5863
(281) 398-1430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3322901-01
—
TX
Enumeration date
06/21/2012
Last updated
09/02/2014
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