| Dr P Raju Indukuri, MD | |
|
669 Airport Fwy Ste 309, Hurst, TX 76053-3984 | |
| (817) 222-9907 | |
| (817) 222-9909 |
| Full Name | Dr P Raju Indukuri |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 669 Airport Fwy Ste 309, Hurst, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982611513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | H7433 (Texas) | Primary |
| Entity Name | P Raju Indukuri Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932382165 PECOS PAC ID: 8224098686 Enrollment ID: O20041012000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr P Raju Indukuri, MD 669 Airport Fwy Ste 309, Hurst, TX 76053-3984 Ph: (817) 222-9907 | Dr P Raju Indukuri, MD 669 Airport Fwy Ste 309, Hurst, TX 76053-3984 Ph: (817) 222-9907 |
Mrs. Mary Ann Fleming Hubbard, FNP-C Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 669 Airport Fwy Ste 401, Hurst, TX 76053 Phone: 763-817-5665 | |
Daniel Eric Rousch, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1236 Southridge Ct Ste 201, Hurst, TX 76053 Phone: 817-585-6807 Fax: 817-394-2119 | |
Melissa Lynne Baker, MSN, APRN, PMHNP-BC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 669 Airport Fwy Ste 309, Hurst, TX 76053 Phone: 817-222-9907 Fax: 817-222-9909 |