Individual
DR. GANGAMMA CHENENDA PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-9741
(214) 648-9531
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-9741
(214) 648-9531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P0711
TX
208M00000X
Hospitalist Physician
P0711
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2008
Last updated
10/12/2012
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