Individual
CHANDRINI MENKA JAYASUNDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
313 E 12TH ST, AUSTIN, TX 78701-1954
(409) 772-0848
Mailing address
313 E 12TH ST, AUSTIN, TX 78701-1954
(409) 772-0848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7302
TX
Other
Enumeration date
06/25/2007
Last updated
12/19/2007
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