# VITTAL CHUNDRU MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265772263
- **Authorized official:** DR. VITTAL KUMAR CHUNDRU MD (HOSPITALIST)
- **Authorized official phone:** (352) 362-4877

## Contact information

- **Practice address:** 11912 SOUTHERN TRAILS CT, PEARLAND, TX 77584-4563
- **Practice address phone:** (352) 362-4877
- **Practice address fax:** (352) 854-4399
- **Mailing address:** 11912 SOUTHERN TRAILS CT, PEARLAND, TX 77584-4563
- **Mailing address phone:** (352) 362-4877
- **Mailing address fax:** (352) 854-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | P3304 | TX | — |
| 282N00000X | General Acute Care Hospital | P3304 | TX | Yes |

## Other

- **Enumeration date:** 02/27/2013
- **Last updated:** 02/27/2013
