Individual
DR. AMIT ANNAMANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PINE FOREST DR STE 602, SHENANDOAH, TX 77384-5304
(281) 440-8430
(281) 440-8449
Mailing address
150 PINE FOREST DR STE 602, SHENANDOAH, TX 77384-5304
(281) 440-8430
(281) 440-8449
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K0609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101360903
—
TX
Enumeration date
08/19/2005
Last updated
04/19/2024
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