Individual
HARI DANDAPANTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9313 EVENING PRIMROSE PATH, AUSTIN, TX 78750-3631
(512) 748-0154
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M9947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HD072495
BCBSM
MI
Enumeration date
05/11/2006
Last updated
09/26/2024
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