Individual
ANIL KUMAR KOGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3409 WORTH ST, SUITE 320, DALLAS, TX 75246-2029
(214) 820-8350
(214) 820-8355
Mailing address
3409 WORTH ST, SUITE 320, DALLAS, TX 75246-2029
(214) 820-8350
(214) 820-8355
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M1842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176308801
—
TX
05
—
176308803
—
TX
01
—
8M2956
BCBS
TX
Enumeration date
03/23/2006
Last updated
06/04/2009
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