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NPI Code Detail

MEDICARE: SRIREKHA MADDUKURI MD

MEDICARE:   SRIREKHA  MADDUKURI  MD
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
12084N0400XNeurology PhysicianP3194TX
22084S0012XSleep Medicine (Psychiatry & Neurology) PhysicianP3194TX

General Provider Information

NPI Number : 1952591059
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRIREKHA MADDUKURI MD
Provider Business Mailing Address
First Line : 3030 HARWOOD RD STE 100
Second Line :
City : BEDFORD
State : TX
Zip : 76021-3703
Country : US
Telephone Number : 817-267-6290
Fax Number : 817-267-0950
Provider Business Practice Location Address
First Line : 3030 HARWOOD RD STE 100
Second Line :
City : BEDFORD
State : TX
Zip : 76021-3703
Country : US
Telephone Number : 817-267-6290
Fax Number : 817-267-0950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 12/05/2025

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Directions to “ SRIREKHA MADDUKURI MD” Practice Location

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