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Organization
VIJAYA KAVIKONDALA MD PA
Active
Organization
VIJAYA KAVIKONDALA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYA KAVIKONDALA M.D. (DIRECTOR)
(972) 804-4936
Entity
Organization
Contact information
Practice address
4557 KENTUCKY DR, PLANO, TX 75024-3984
(972) 491-0795
(972) 491-0795
Mailing address
4557 KENTUCKY DR, PLANO, TX 75024-3984
(972) 491-0795
(972) 491-0795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M2666
TX
Other
Enumeration date
08/22/2010
Last updated
08/22/2010
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