Individual
DR. SAMANTAPUDI KRISHNAMARAJU DAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 W INTERSTATE 20 STE 224, ARLINGTON, TX 76017-5873
(817) 641-6000
(817) 419-4501
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD424649
PA
207RC0000X
Cardiovascular Disease Physician
Primary
M9956
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD424649
PA
207RP1001X
Pulmonary Disease Physician
MD424649
PA
Other
Enumeration date
06/19/2006
Last updated
01/26/2023
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