Provider Demographics
NPI:1487611273
Name:KALIDINDI, VISHNU VARMA (MD)
Entity type:Individual
Prefix:DR
First Name:VISHNU
Middle Name:VARMA
Last Name:KALIDINDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5963 DRIPPING SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4037
Mailing Address - Country:US
Mailing Address - Phone:214-618-8833
Mailing Address - Fax:
Practice Address - Street 1:8000 WARREN PKWY STE 104
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2225
Practice Address - Country:US
Practice Address - Phone:469-362-6543
Practice Address - Fax:469-362-6545
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2507174400000X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No174400000XOther Service ProvidersSpecialist
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A5505Medicare PIN
TX8F1796Medicare ID - Type Unspecified
TXG5228Medicare UPIN