Individual
AISHWARYA KAMALA DEVARAKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST STOP 9406, LUBBOCK, TX 79430-9406
(806) 743-6630
Mailing address
3601 4TH ST STOP 9406, LUBBOCK, TX 79430-9406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S6156
TX
Other
Enumeration date
04/05/2017
Last updated
07/10/2020
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