Individual
VASUDHA MANTRAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16545 SOUTHWEST FWY STE 100, SUGAR LAND, TX 77479-2919
(281) 649-7200
(281) 491-6704
Mailing address
14140 SOUTHWEST FWY STE 200, SUGAR LAND, TX 77478-3842
(281) 649-7000
(281) 240-0030
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
T1453
TX
208000000X
Pediatrics Physician
2019023011
MO
Other
Enumeration date
08/09/2016
Last updated
07/29/2021
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