Individual
VIJAYA LAKSHMI SUDANAGUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
445 E FM 1382, SUITE 3354, CEDAR HILL, TX 75104-6047
(214) 325-1969
Mailing address
445 E FM 1382, SUITE 3354, CEDAR HILL, TX 75104-6047
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
N0484
TX
Other
Enumeration date
08/08/2006
Last updated
10/08/2008
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