Individual
SUDHARANI DIKKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 S MAIN ST STE 3200, FORT WORTH, TX 76104-7669
(817) 702-8400
(817) 702-4671
Mailing address
1350 S MAIN ST STE 3200, FORT WORTH, TX 76104-7669
(817) 702-8400
(817) 702-4671
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD435024
PA
207RN0300X
Nephrology Physician
Primary
P4043
TX
Other
Enumeration date
07/22/2008
Last updated
03/31/2022
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