Individual
DR. SANDHYA L KOMMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9990 DALLAS PKWY STE 105, FRISCO, TX 75033-4135
(817) 877-5858
(817) 335-4418
Mailing address
1000 W CANNON ST, FORT WORTH, TX 76104-3029
(817) 725-7900
(682) 207-1030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41649
KY
207R00000X
Internal Medicine Physician
MD61136677
WA
207R00000X
Internal Medicine Physician
R2900
TX
207RN0300X
Nephrology Physician
Primary
R2900
TX
208M00000X
Hospitalist Physician
41649
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569234
ANTHEM
KY
05
—
200903590
—
IN
01
—
3525755000
PASSPORT ADVANTAGE
KY
05
—
381147301
—
TX
01
—
50019467
PASSPORT
KY
01
—
50033376
PASSPORT/PASSPORT ADVANTAGE
KY
05
—
7100042940
—
KY
Enumeration date
05/21/2007
Last updated
04/02/2025
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