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Dr. Suresh Kankanala, MD
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1922211697

Suresh Kankanala is a Student in an Organized Health Care Education/Training Program based in Fort Worth, TX. Suresh Kankanala practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Suresh Kankanala is 1922211697 and holds a License No. N5145 (Texas).

The current practice location address for Suresh Kankanala is 1023 Lipscomb St Ste 200, Fort Worth, TX and can be reached out via phone at 972-544-6600 and via fax at 972-544-6604. You can also correspond with Suresh Kankanala through the mailing address at 1023 LIPSCOMB ST STE 200, FORT WORTH, TX - 76104-3130 (mailing address contact number: 972-544-6600).

Location: 1023 Lipscomb St Ste 200, Fort Worth, TX, 76104-3130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922211697
Provider Name
Suresh Kankanala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1023 Lipscomb St Ste 200, Fort Worth, TX, 76104-3130
Phone Number
972-544-6600
Fax Number
972-544-6604
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
214605201 05 TX
institution
Provider Business Practice Location Address Details
Address
1023 Lipscomb St Ste 200
City
Fort Worth
State
Texas
Zip
76104-3130
Phone Number
972-544-6600
Fax Number
972-544-6604
person
Provider Business Mailing Address Details
Address
1023 Lipscomb St Ste 200
City
Fort Worth
State
Texas
Zip
76104-3130
Phone Number
972-544-6600
Fax Number
972-544-6604
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
57-011410 (Ohio)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
N5145 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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