Individual
DR. VIDYASAGAR CHODIMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4325 N JOSEY LN, SUITE 204, PLAZA 3, CARROLLTON, TX 75010-4635
(972) 395-7400
Mailing address
4325 N JOSEY LN, SUITE 204, PLAZA 3, CARROLLTON, TX 75010-4635
(972) 395-7400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H22261
TX
207RC0000X
Cardiovascular Disease Physician
Primary
H22261
TX
Other
Enumeration date
06/19/2006
Last updated
10/01/2010
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