SUGUNA KRISHNAMMAL NEELAKANTAN


Address: 855 Montgomery, Fort Worth, TX 76107-2553
Phone: 8179206400

SUGUNA KRISHNAMMAL NEELAKANTAN (NPI# 1326257205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326257205
Entity Type Individual
Full Name SUGUNA KRISHNAMMAL NEELAKANTAN
Credential MD
Practice Address 855 Montgomery
Fort Worth
TX 76107-2553
Mailing Address Po Box 99335
Fort Worth
TX 76199-0335
Practice Telephone 8179206400
Practice Fax Number 8179206254
Mailing Telephone 8179206400
Enumeration Date 2007-05-21
Last Update Date 2011-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine N1796 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 201294001 05
TX BCBS 8X7298 01

Office Location

Street Address 855 MONTGOMERY
City FORT WORTH
State TX
Zip Code 76107-2553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194711747 Victor Lamont Holmes Physician Assistant 855 Montgomery, Fort Worth, TX 76107-2553 2005-09-20
1093117848 Keely Nicole Grant Mirle Nurse Practitioner 855 Montgomery, Fort Worth, TX 76107-2553 2014-09-24
1750722187 Felicia Ann Hoffman Physician Assistant 855 Montgomery, Fort Worth, TX 76107-2553 2013-07-15
1194075101 Christie Peer Shanafelt Neuromusculoskeletal Medicine & OMM 855 Montgomery, Fort Worth, TX 76107-2553 2012-09-17
1760737142 Tomi Omolara Ola-peters Internal Medicine 855 Montgomery, Fort Worth, TX 76107-2553 2012-07-20
1386930709 Crystal Diane Walker Physician Assistant 855 Montgomery, Fort Worth, TX 76107-2553 2011-06-23
1881908598 America E Mcguffee Physician Assistant 855 Montgomery, Fort Worth, TX 76107-2553 2010-08-05
1144534173 James Raymond Leddy Physician Assistant 855 Montgomery, Fort Worth, TX 76107-2553 2010-08-02
1548401094 Yue-qing Tan Internal Medicine 855 Montgomery, Fort Worth, TX 76107-2553 2009-03-13
1386892966 Anjali Kumar Family Medicine 855 Montgomery, Fort Worth, TX 76107-2553 2008-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629683602 Renovo Wound and Hyperbarics Pllc Emergency Medicine 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 2020-09-15
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1093351355 Raymond Iannone Pharmacist 850 Montgomery St, Suite #310, Fort Worth, TX 76107 2019-11-21
1053963744 Cumulus Injury Resolution, Inc. Chiropractor 4936 Byers Avenue, Fort Worth, TX 76107 2019-07-12
1770135576 Shadia Osakwe Physician Assistant 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 2019-07-11
1568945442 Sachin P Patel Physical Therapist 4825 Wellesley St, Fort Worth, TX 76107 2018-09-07
1023594025 Ftw Pharmacy Services Inc Durable Medical Equipment & Medical Supplies 2912 W 6th St Ste 150, Fort Worth, TX 76107 2018-07-13
1669974325 Helen Williamson Elliott Counselor 1751 River Run #217, Fort Worth, TX 76107 2018-03-08
1487156931 Pelvic Neuromonitoring Pllc Electrodiagnostic Medicine 111 Boland St #211, Ft Worth, TX 76107 2018-03-01
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023581006 Leon S Tio Md Pa Internal Medicine 800 8th Ave Ste 336, Fort Worth, TX 76104-2614 2019-01-02
1174009385 Universal Clinical Care LLC. Internal Medicine 2502 Via Nicola Apt 3424, Fort Worth, TX 76109-5587 2018-07-11
1417458068 Fort Worth Primary Care, Pllc Internal Medicine 800 8th Ave Ste 626, Fort Worth, TX 76104-2605 2018-02-27
1750753976 Momentum Health Partners Pllc Internal Medicine 4551 Boat Club Rd, Fort Worth, TX 76135-2004 2015-10-27
1013399286 Aman Kanti Patel Internal Medicine 2502 Via Nicola, Apt # 3424, Fort Worth, TX 76109-6566 2015-06-24
1053705855 Deidi Ann Bergestuen Internal Medicine 5450 Clearfork Main Street Suite 300, Fort Worth, TX 76109-7208 2015-03-19
1992198188 Jack Ni Internal Medicine Baylor Scott & White All Saints Medical Center, 1400 8th Ave, Fort Worth, TX 76104-4192 2015-03-11
1184054066 Dfw Premier Healthcare Pa Internal Medicine 4844 Sangers Ct, Fort Worth, TX 76244-9119 2013-11-14
1588094593 T Off Men's Health Internal Medicine 601 Penn St, Fort Worth, TX 76102-2619 2013-11-13
1174957054 Medhealth Center Inc Internal Medicine 112 Nw 24th St Ste 206, Fort Worth, TX 76164-8577 2013-08-27
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Competitor

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City FORT WORTH
Zip Code 76107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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