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Organization
GUMMADI & DESAI LLC
Active
Organization
GUMMADI & DESAI LLC
Active
Other names
Edinburg Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON L LOPEZ (ADMIN)
(956) 668-1111
Entity
Organization
Contact information
Practice address
2717 MICHAEL ANGELO STE 302, EDINBURG, TX 78539-1409
(956) 668-1111
Mailing address
2717 MICHAEL ANGELO STE 302, EDINBURG, TX 78539-1409
(956) 668-1111
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2044637
CLIA
TX
Enumeration date
09/13/2012
Last updated
09/13/2012
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