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Organization
KALLUMADANDA PLLC
Active
Organization
KALLUMADANDA PLLC
Active
Other names
STM PRIMARY CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
VINNIE D KALLUMADANDA MD (MEDICAL DOCTOR/ OWNER)
(956) 688-8181
Entity
Organization
Contact information
Practice address
901 E ESPERANZA AVE, MCALLEN, TX 78501-1424
(956) 688-8181
(956) 688-8034
Mailing address
901 E ESPERANZA AVE, MCALLEN, TX 78501-1424
(956) 688-8181
(956) 688-8034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M5733
TX
207Q00000X
Family Medicine Physician
Primary
N0872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588712848
INDIVIDUAL NPI
—
01
—
1912169459
INDIVIDUAL NPI
—
Enumeration date
03/11/2013
Last updated
08/02/2013
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