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Organization
R. KATTEGUMMULA, M.D, P.A.
Active
Organization
R. KATTEGUMMULA, M.D, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANGA REDDY KATTEGUMMULA M.D. (PRESIDENT)
(979) 297-1652
Entity
Organization
Contact information
Practice address
215 OAK DR S STE K, LAKE JACKSON, TX 77566-5618
(979) 297-1652
(979) 297-6322
Mailing address
215 OAK DR S STE K, LAKE JACKSON, TX 77566-5618
(979) 297-1652
(979) 297-6322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G6317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000R41V2
—
TX
Enumeration date
02/23/2011
Last updated
06/14/2012
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