Individual
MISS ANISHA VASU KANUKOLANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9006
(214) 648-2168
(214) 648-7517
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9006
(214) 648-2168
(214) 648-7517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/18/2025
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