Individual
PRITHVI MUDDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11937 US HWY 271, ATTN: KATE WELLS, TYLER, TX 75708
(903) 877-7000
Mailing address
11937 US HWY 271, ATTN: KATE WELLS, TYLER, TX 75708
(903) 877-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
U1974
TX
208M00000X
Hospitalist Physician
Primary
U1974
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10068792
TX
Other
Enumeration date
05/13/2019
Last updated
06/05/2023
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