Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | K7367 | TX |
Y | 207RI0011X | Interventional Cardiology | K7367 | TX |
NPI | 1013909258 |
---|---|
Provider Name | Srinivas N Paranandi |
First Address | Bedford, TX 76022-6928 |
Second Address | Bedford, TX 76022-6928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 14/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104113904 | (05) | TX |
G04050 | (02) |