Individual
DR. ARUN K PADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12500 DALLAS PKWY STE 4.600, FRISCO, TX 75033-4231
(469) 495-9001
Mailing address
1900 MISTLETOE BLVD, SUITE 100, FORT WORTH, TX 76104-4050
(817) 338-1300
(817) 335-9871
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
P8967
TX
207RI0011X
Interventional Cardiology Physician
P8967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207RI0011X
TAXONOMY
TX
05
—
338428103
—
TX
01
—
357112YT79
MEDICARE PTAN
TX
01
—
357112ZHL4
MEDICARE PTAN
TX
Enumeration date
07/16/2007
Last updated
01/26/2023
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