Individual
SAI KARAN VAMSI GUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Mailing address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
T7934
TX
207RP1001X
Pulmonary Disease Physician
T287314
MA
207RP1001X
Pulmonary Disease Physician
T7934
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2015
Last updated
08/09/2022
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