Individual
ANUSHA V. JOGIMAHANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9800 N BEACH ST, FORT WORTH, TX 76244-6187
(817) 647-9801
(817) 562-1112
Mailing address
9800 N BEACH ST, FORT WORTH, TX 76244-6187
(817) 647-9801
(817) 562-1112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U1518
TX
207RN0300X
Nephrology Physician
U1518
TX
208M00000X
Hospitalist Physician
U1518
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
11/07/2023
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