Individual
ANIRUDH TADAKAMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1631 11TH STREET, UNIT B, WICHITA FALLS, TX 76301-4332
(940) 263-3000
(940) 263-3018
Mailing address
1631 11TH STREET, UNIT B, WICHITA FALLS, TX 76301-4332
(940) 263-3000
(940) 263-3018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R78093
AZ
207R00000X
Internal Medicine Physician
Primary
U2647
TX
208M00000X
Hospitalist Physician
U2647
TX
Other
Enumeration date
05/04/2020
Last updated
07/06/2023
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