Provider Demographics
NPI:1851631204
Name:CAREWELL KIDNEY DOCTORS PLLC
Entity Type:Organization
Organization Name:CAREWELL KIDNEY DOCTORS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:469-316-2919
Mailing Address - Street 1:6565 N MACARTHUR BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2482
Mailing Address - Country:US
Mailing Address - Phone:469-316-2919
Mailing Address - Fax:972-767-4374
Practice Address - Street 1:6565 N MACARTHUR BLVD STE 225
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2482
Practice Address - Country:US
Practice Address - Phone:469-316-2919
Practice Address - Fax:972-767-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7908207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty