Individual provider · NPI-1

Nanda Bysani, MD

Internal Medicine · Grand Prairie, TX

NPI number1801852025
StatusActive
Last updated in NPPESJul 1, 2024

Details

NPI
1801852025
Entity type
Individual (NPI-1)
Name
Nanda Bysani
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2006
Certification date
Jul 1, 2024
Last updated
Jul 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineN7783TXYes
208000000X PediatricsN7783TX

Practice location

710 E Pioneer Pkwy
Grand Prairie, TX 75051-4958

Phone 972-262-8211 · Fax 972-262-8311

Mailing address

710 E Pioneer Pkwy
Grand Prairie, TX 75051-4958

Phone 972-262-8211 · Fax 972-262-8311

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