Individual
DR. NEELIMA MADDUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2010 BEN MERRITT DR, SUITE A, DECATUR, TX 76234-3854
(940) 626-2300
(940) 626-2315
Mailing address
PO BOX 2078, DECATUR, TX 76234-6156
(940) 626-2300
(940) 626-2315
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M9471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208940103
—
TX
01
—
8CU842
BCBS
TX
Enumeration date
09/20/2006
Last updated
04/30/2019
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