Individual
DR. ANURADHA GODAVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1300 W TERRELL AVE FL 2, FORT WORTH, TX 76104-2820
(817) 820-4906
(817) 820-4815
Mailing address
1300 W TERRELL AVE FL 2, FORT WORTH, TX 76104-2820
(817) 820-4906
(817) 820-4815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005011334
MO
207R00000X
Internal Medicine Physician
Primary
P1313
TX
Other
Enumeration date
05/01/2007
Last updated
04/16/2012
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