MEDICARE: DURGA DANDU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	V2719	TX
2	207R00000X	Internal Medicine Physician	MD464604	PA

General Provider Information

NPI Number	:	1902281934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DURGA DANDU

Provider Business Mailing Address
First Line	:	3535 S INTERSTATE 35 E
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-6850
Country	:	US
Telephone Number	:	954-939-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 S INTERSTATE 35 E
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-6850
Country	:	US
Telephone Number	:	954-939-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2015
Last Update Date	:	03/16/2026

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Directions to “ DURGA DANDU ” Practice Location

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