Individual
KODLIPET DHARMASHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6807 EMMETT F LOWRY EXPY, SUITE 108, TEXAS CITY, TX 77591-2546
(409) 945-5444
(409) 945-4133
Mailing address
6807 EMMETT F. LOWRY EXPY, SUITE 108, TEXAS CITY, TX 77591
(409) 945-5444
(409) 945-4133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45787
WI
207R00000X
Internal Medicine Physician
ME102151
FL
207R00000X
Internal Medicine Physician
P9324
TX
207RC0000X
Cardiovascular Disease Physician
Primary
P9324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352395301
—
TX
Enumeration date
10/25/2006
Last updated
11/16/2016
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