Provider Demographics
NPI:1235796111
Name:KIDS' WORLD PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:KIDS' WORLD PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEEPA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAJADHYAKSHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-498-6300
Mailing Address - Street 1:5757 WARREN PARKWAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:469-498-6300
Mailing Address - Fax:
Practice Address - Street 1:5757 WARREN PARKWAY
Practice Address - Street 2:SUITE 310
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:469-498-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-25
Last Update Date:2019-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1700869393OtherNPI
TX1336147974OtherNPI