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SURESH KANKANALA M.D, P.A.
NPI 1053762237
Clinic/Center - Primary Care in Fort Worth, TX

Active since June 28, 2016
923 COLLEGE AVE, SUITE 103, FORT WORTH, TX 76104(972) 544-6600 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2016, Jun 28, 2016 (2 updates tracked since 2016).

About Suresh Kankanala M.d, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURESH KANKANALA M.D, P.A. (NPI 1053762237) is a healthcare organization registered as a primary care in Fort Worth, Texas and active in the NPI registry since June 2016. The organization lists Suresh Babu Kankanala, President, as its authorized official.

NPPES Registry Identity

NPI1053762237
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSURESH KANKANALA M.D, P.A.
Location Address923 COLLEGE AVE, SUITE 103Fort Worth, TX 76104-3050
Mailing Address923 College Ave, Suite 103Fort Worth, TX 76104-3050
Phone(972) 544-6600
Organization SubpartNo
Authorized OfficialSuresh Babu KankanalaPresident · (972) 544-6600
Enumeration DateJune 28, 2016
Last NPPES UpdateAugust 8, 20162 updates tracked since enumeration
✔ NPI 1053762237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · N5145
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License N5145 (TX)
923 COLLEGE AVE, Fort Worth, TX 76104
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEEPTHI PARVATANENI MD
Family Medicine
923 COLLEGE AVE, SUITE 103
FORT WORTH, TX 76104
Tarrant County (972) 544-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suresh Kankanala M.D, P.A.'s NPI number?

The NPI number for Suresh Kankanala M.D, P.A. is 1053762237. It was assigned to this organization in the NPPES registry on June 28, 2016.

Where is Suresh Kankanala M.D, P.A. located?

Suresh Kankanala M.D, P.A. is located at 923 College Ave Suite 103, Fort Worth, TX 76104. The listed phone number is (972) 544-6600.

What is Suresh Kankanala M.D, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Suresh Kankanala M.D, P.A. was last updated on August 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.