Provider Demographics
NPI:1326658428
Name:PASSION HEALTH NEPHROLOGY ASSOCIATES PLLC
Entity Type:Organization
Organization Name:PASSION HEALTH NEPHROLOGY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDHYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KOMMANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-323-9906
Mailing Address - Street 1:11866 CASA GRANDE TRL
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0222
Mailing Address - Country:US
Mailing Address - Phone:469-323-9906
Mailing Address - Fax:469-242-9854
Practice Address - Street 1:11866 CASA GRANDE TRL
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0222
Practice Address - Country:US
Practice Address - Phone:469-323-9906
Practice Address - Fax:469-242-9854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty