Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | S9807 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | S9807 | TX |
NPI | 1619397072 |
---|---|
Provider Name | Kartik Sainag Telukuntla |
First Address | Dallas, TX 75231-3824 |
Second Address | Dallas, TX 75231-3824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2014 |
Last Update Date | 02/11/2021 |