Sudath Gunadeera Rannulu, MD - Pediatrics in Ft Worth, TX

Sudath Gunadeera Rannulu, MD is a Pediatrics physician based in Ft Worth, Texas. Sudath Gunadeera Rannulu is licensed to practice in Texas (license number P7550) and his current practice location is 4759 South Fwy, Ste 101, Ft Worth, Texas. He can be reached at his office (for appointments etc.) via phone at (972) 293-6300.

NPI number for Sudath Gunadeera Rannulu is 1932361078 and his current mailing address is 777 E Wheatland Rd, Ste 108, Duncanville, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932361078.

Contact Information

Sudath Gunadeera Rannulu, MD
4759 South Fwy, Ste 101,
Ft Worth, TX 76115-3655
(972) 293-6300
(972) 293-6301

Map and Direction




Physician's Profile

Full NameSudath Gunadeera Rannulu
GenderMale
SpecialityPediatrics
Location4759 South Fwy, Ft Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932361078
  • Provider Enumeration Date: 06/30/2008
  • Last Update Date: 03/20/2018

Medical Identifiers

Medical identifiers for Sudath Gunadeera Rannulu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932361078NPI-NPPES
02984105MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics P7550 (Texas)Primary
208000000XPediatrics 249270 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sudath Gunadeera Rannulu is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sudath Gunadeera Rannulu, MD
777 E Wheatland Rd, Ste 108,
Duncanville, TX 75116-4918

Ph: (972) 293-6300
Sudath Gunadeera Rannulu, MD
4759 South Fwy, Ste 101,
Ft Worth, TX 76115-3655

Ph: (972) 293-6300

Reviews and Comments


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