P Praxis·MD
● Active Type 1 · Individual

Sudath Gunadeera Rannulu, M.D.

Pediatrics·Ft Worth, TX· NPI 1932361078 · Enumerated 2008 · 17 years on NPI
Rannulu is 1 of 5 pediatrics providers in Ft Worth and 1 of 7055 in Texas.
NPI age
17 years
Enumerated 2008-06-30
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7055 active pediatrics providers in Texas.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
4759 South Fwy, Ste 101
Ft Worth, TX 761153655
📞 9722936300fax 9722936301
Mailing address
777 E Wheatland Rd, Ste 108
Duncanville, TX 751164918
📞 9722936300fax 9722936301

Specialties

  • Pediatrics Primary
    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...
    TX license #P7550NY license #249270 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (NY) 02984105
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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