Healthcare Provider Details

I. General information

NPI: 1972707776
Provider Name (Legal Business Name): GNANA S R NAINI , M.D, P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 VILLAGE DR STE C
MURPHY TX
75094-4650
US

IV. Provider business mailing address

3107 BLUFFS LN
ALLEN TX
75002-6556
US

V. Phone/Fax

Practice location:
  • Phone: 972-325-8060
  • Fax: 972-430-7818
Mailing address:
  • Phone: 972-422-0505
  • Fax: 972-516-3971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. GNANASUMATHI REDDY NAINI
Title or Position: DIRECTOR
Credential: M.D.
Phone: 972-469-8749