Individual provider · Type 1 NPI

Ragini Kondetimmanahalli, MD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1003669714 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390

Call (214) 648-3433 Map

Mailing address

7920 Elmbrook Dr Ste 120
Dallas, TX 75247-4933

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003669714

Ragini Kondetimmanahalli, MD's National Provider Identifier is 1003669714, issued on Apr 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Aug 8, 2026.