| Doctor Name: | VENKATESHA KADABA |
| NPI Number: | 1033312905 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | M5264 |
| Business Practice Address: | 1750 N Hampton Rd Desoto, TX - 751152306 |
| Business Phone Number: | 2149464397 |
| Business Fax Number: | 2149464399 |
| Mailing Address: | 815 Pennsylvania Ave, FORT WORTH |
| State: | TX |
| Postal Code: | 761042224 |
| Phone Number: | 8173210937 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0700X |
| License Number: | M5264 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Neuroradiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |