Individual
SUKESH C BURJONROPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 W TERRELL AVE STE 500, FORT WORTH, TX 76104-2810
(817) 252-5000
Mailing address
1900 MISTLETOE BLVD, STE 100, FORT WORTH, TX 76104-4048
(817) 338-1300
(682) 747-5141
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M9891
TX
207RI0011X
Interventional Cardiology Physician
Primary
M9891
TX
207UN0901X
Nuclear Cardiology Physician
M9891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196963602
—
TX
Enumeration date
01/31/2007
Last updated
11/06/2024
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