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1992781330
PAVANI MUDDASANI
FORT WORTH, TX
NPI
1992781330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: TX M3657)
Enumeration Date
2005-12-19
Last Update Date
2020-11-03
Business Address
PAVANI MUDDASANI MD
508 S ADAMS ST STE 202
FORT WORTH, TX 76104-2151
Phone number: 817-877-3446
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Mailing Address
PAVANI MUDDASANI MD
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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