Individual provider · Type 1 NPI

Sidart Pradeep, MD

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

NPI number 1306586862 Active

Practice location

1400 8th Ave
Fort Worth, TX 76104-4110

Call (817) 926-2544 Map

Mailing address

6108 Laguna Cliff Ln
Austin, TX 78734-1177

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 1306586862

Sidart Pradeep, MD's National Provider Identifier is 1306586862, issued on Mar 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 31, 2022.