Individual
DURGA VENKATALAKSH MADALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2516 SAMARITAN DR, SUITE A, SAN JOSE, CA 95124-4108
(408) 356-4242
(408) 356-4455
Mailing address
2516 SAMARITAN DR, SUITE A, SAN JOSE, CA 95124-4108
(408) 356-4242
(408) 356-4455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A56316
CA
Other
Enumeration date
06/24/2006
Last updated
03/21/2013
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