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SUDATH GUNADEERA RANNULU M.D.
NPI 1932361078
Pediatrics in Ft Worth, TX

Active since June 30, 2008
4759 SOUTH FWY, STE 101, FT WORTH, TX 76115(972) 293-6300(972) 293-6301 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sudath Gunadeera Rannulu M.d. NPPES

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

SUDATH GUNADEERA RANNULU M.D. (NPI 1932361078) is an individual pediatrics provider in Ft Worth, Texas, licensed in Texas (P7550) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1932361078
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSUDATH GUNADEERA RANNULUCredential: M.D.
Location Address4759 SOUTH FWY, STE 101Ft Worth, TX 76115-3655
Mailing Address777 E Wheatland Rd, Ste 108Duncanville, TX 75116-4918 · (972) 293-6300 · Fax (972) 293-6301
Phone(972) 293-6300
Fax(972) 293-6301
Sole ProprietorNo
Enumeration DateJune 30, 2008
Last NPPES UpdateMarch 20, 2018
✔ NPI 1932361078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · P7550✔ Licensed in NY · 249270
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4759 SOUTH FWY, Ft Worth, TX 76115
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Other Identifiers 1

Medicaid02984105NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

SOUTH SIDE FOOT CLINIC INC.
Podiatrist
4759 SOUTH FWY, SUITE B
FORT WORTH, TX 76115
Tarrant County (817) 923-1953
ANDREW NGUYEN DAO FNP-C
Nurse Practitioner (Family)
4759 SOUTH FWY
FORT WORTH, TX 76115
Tarrant County (817) 923-7374

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 Sudath Rannulu's NPI number?

The NPI number for Sudath Rannulu is 1932361078. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Sudath Rannulu located?

Sudath Rannulu practices at 4759 South Fwy Ste 101, Ft Worth, TX 76115. The listed phone number is (972) 293-6300.

What is Sudath Rannulu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Sudath Rannulu accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Sudath Rannulu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sudath Rannulu was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.