# DURGA P. VEDATI, MDPA

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

## Provider details

- **NPI number:** 1780025437
- **Authorized official:** DR. DURGA PRASAD VEDATI M.D. (PRESIDENT)
- **Authorized official phone:** (248) 787-6266

## Contact information

- **Practice address:** 611 N MACARTHUR BLVD, SUITE 110, IRVING, TX 75061-7423
- **Practice address phone:** (248) 787-6266
- **Practice address fax:** (817) 993-1437
- **Mailing address:** PO BOX 92994, SOUTHLAKE, TX 76092-0994
- **Mailing address phone:** (248) 787-6266
- **Mailing address fax:** (817) 993-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | N2331 | TX | Yes |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 11/21/2014