Individual
DURGA RAM PRASAD TANNERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 WALNUT ST STE 133, RICHARDSON, TX 75081-5584
(817) 592-1196
(817) 310-3102
Mailing address
445 WALNUT ST STE 133, RICHARDSON, TX 75081-5584
(817) 592-1196
(817) 310-3102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q6582
TX
208M00000X
Hospitalist Physician
Primary
25MA12182400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2013
Last updated
11/26/2025
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