Provider Demographics
NPI:1710928601
Name:PADDA, MANMEET S (MD)
Entity Type:Individual
Prefix:DR
First Name:MANMEET
Middle Name:S
Last Name:PADDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7610 N STEMMONS FWY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4228
Mailing Address - Country:US
Mailing Address - Phone:214-689-5960
Mailing Address - Fax:469-713-8084
Practice Address - Street 1:4521 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 500
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1651
Practice Address - Country:US
Practice Address - Phone:972-562-8383
Practice Address - Fax:972-548-8388
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN8055207RG0100X
NV13255207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1710928601Medicaid
NVCH692ZMedicare PIN