Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Suresh Kankanala M D, PA

Organization Multi-Specialty Clinic/Center · NPI 1053762237

Suresh Kankanala M D, PA is a Multi-Specialty Clinic/Center in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

923 College Ave Ste 103
Fort Worth, TX 76104-3050
Phone: (972) 544-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence N5145 (TX)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
General Acute Care Hospital Taxonomy 282N00000X · Licence N5145 (TX)

Record details

NPI number1053762237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suresh Kankanala — President · (972) 544-6600
NPI enumeratedJune 28, 2016
Last updated in NPPESAugust 8, 2016
Mailing address923 College Ave, Suite 103, Fort Worth, TX 76104-3050

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