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Madhuri Latha Koganti, MD
Neurology Physician in Southlake, Texas
NPI 1467557124

Madhuri Latha Koganti is a Neurology Physician based in Southlake, TX and is specialized in Neurology. Madhuri Latha Koganti practices in Southlake, TX and has the professional credentials of MD. The NPI Number for Madhuri Latha Koganti is 1467557124 and holds a License No. P0248 (Texas).

The current practice location address for Madhuri Latha Koganti is 231 W Southlake Blvd Ste 100, Southlake, TX and can be reached out via phone at 817-865-6280 and via fax at 817-865-6287.

Location: 231 W Southlake Blvd Ste 100, Southlake, TX, 76092-7037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467557124
Provider Name
Madhuri Latha Koganti
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
231 W Southlake Blvd Ste 100, Southlake, TX, 76092-7037
Phone Number
817-865-6280
Fax Number
817-865-6287
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
288388601 05 TX
institution
Provider Business Practice Location Address Details
Address
231 W Southlake Blvd Ste 100
City
Southlake
State
Texas
Zip
76092-7037
Phone Number
817-865-6280
Fax Number
817-865-6287
person
Provider Business Mailing Address Details
Address
231 W Southlake Blvd Ste 100
City
Southlake
State
Texas
Zip
76092-7037
Phone Number
817-865-6280
Fax Number
817-865-6287
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
P0248 (Texas)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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