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Individual

GIRIDHAR VEDALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MEDICAL CENTER BLVD, 200, CONROE, TX 77304-2888
(936) 441-9680
(936) 539-9685
Mailing address
100 MEDICAL CENTER BLVD, 200, CONROE, TX 77304-2888
(936) 441-9680
(936) 539-9685

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301077406
MI
207RC0000X
Cardiovascular Disease Physician
Primary
P9021
TX
207UN0901X
Nuclear Cardiology Physician
4301077406
MI
207UN0901X
Nuclear Cardiology Physician
P9021
TX

Other

Enumeration date
03/03/2006
Last updated
09/25/2024
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