Individual
SHASHIDHAR RAO MARNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 456-7000
(214) 456-8132
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-7000
(214) 456-8132
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
003490
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
Q7921
TX
Other
Enumeration date
05/15/2008
Last updated
10/20/2016
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