Individual provider · Type 1 NPI

Praveen Venkata Polamraju

Diagnostic Radiology Physician · Dallas, TX

NPI number 1417418260 Active

Practice location

6201 Harry Hines Blvd
Dallas, TX 75390-2621

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XV5814 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1417418260

Praveen Venkata Polamraju's National Provider Identifier is 1417418260, issued on Mar 26, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Dallas, TX. The record was last updated on Aug 20, 2025.