Individual
DR. SAMATHA KRISHNA KADIYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
506 THIS WAY ST, LAKE JACKSON, TX 77566-5128
(979) 266-9544
(979) 529-9737
Mailing address
215 OAK DRIVE SOUTH, SUITE B, LAKE JACKSON, TX 77566-5617
(979) 266-9544
(979) 529-9737
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N4502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206442001
—
TX
Enumeration date
09/18/2007
Last updated
06/06/2016
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