Individual
VAMSEE KRISHNA NEERUKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-2020
Mailing address
P.O BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
283636
MA
207W00000X
Ophthalmology Physician
Primary
T5634
TX
Other
Enumeration date
05/05/2016
Last updated
08/09/2022
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