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KATIKANENI S MD PA NPI 1538703889


NPI Information

NPI: 1538703889
Provider Name: KATIKANENI S MD PA

Doing Business As: PRIME INTERNAL MEDICINE ASSOCIATES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 45D2175824

Address:
12200 PARK CENTRAL DR STE 189
DALLAS, TX
ZIP 75251
Phone: (972) 239-5445
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KATIKANENI S MD PA is an internal medicine in Dallas, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KATIKANENI S MD PA NPI is 1538703889. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prime Internal Medicine Associates.

The provider's business location address is:

12200 PARK CENTRAL DR STE 189
DALLAS, TX
ZIP 75251-116
Phone: (972) 239-5445
Fax: (469) 729-6691

The provider's authorized official is Shalini Katikaneni .
The authorized official title is Director and has the following contact phone number (972) 739-3097.

The CLIA number assigned to this NPI record is 45D2175824 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2019 and was last updated on 11/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1197841304MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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