Organization
KIDNEY ASSOCIATES DFW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHARANI DIKKALA MD (NEPHROLOGY)
(817) 886-5966
Entity
Organization
Contact information
Practice address
2022 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051-6953
(817) 421-0380
(817) 421-0986
Mailing address
817 HELMSLEY PL, SOUTHLAKE, TX 76092-6196
(817) 886-5966
(817) 934-7701
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/10/2022
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