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Contact Information

UDAY S KANAMALLA, MD
12700 PARK CENTRAL DR
SUITE 430
DALLAS, TX75251-1500
 Phone: 972-239-8902
 Fax: 972-661-2551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroradiology

2085N0700X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for UDAY S KANAMALLA · (Male)

NPI # 1043208978
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2005
Last updated 12/18/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # P3177
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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