Provider Demographics
NPI:1821699513
Name:DR. K. DANNEERU DPM PLLC
Entity Type:Organization
Organization Name:DR. K. DANNEERU DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KALYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANNEERU
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:832-724-0247
Mailing Address - Street 1:8104 PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7300
Mailing Address - Country:US
Mailing Address - Phone:832-724-0247
Mailing Address - Fax:
Practice Address - Street 1:8104 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7300
Practice Address - Country:US
Practice Address - Phone:832-724-0247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-08
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty