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1306586862
SIDART PRADEEP
FORT WORTH, TX
NPI
1306586862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
SIDART PRADEEP MD
1400 8TH AVE
FORT WORTH, TX 76104-4110
Phone number: 817-926-2544
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Mailing Address
SIDART PRADEEP MD
6108 LAGUNA CLIFF LN
AUSTIN, TX 78734-1177
Phone number:
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