Individual
DIVYA REDDY DANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6624 FANNIN ST, HOUSTON, TX 77030
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q5640
TX
208M00000X
Hospitalist Physician
Primary
Q5640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361999102
—
TX
Enumeration date
04/06/2013
Last updated
01/25/2022
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