Individual
DR. DAMODHARAN VAIDYANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
11800 ASTORIA BLVD, HOUSTON, TX 77089-6041
(508) 847-0045
Mailing address
4703 STRATFORD LN, SUGAR LAND, TX 77479-4561
(508) 847-0045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
202139
LA
207R00000X
Internal Medicine Physician
N3364
TX
208M00000X
Hospitalist Physician
Primary
N3364
TX
Other
Enumeration date
05/23/2007
Last updated
09/24/2024
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