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Individual

SATISH V IDURU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4201 GARTH RD STE 309, BAYTOWN, TX 77521-3156
(281) 671-5960
(281) 970-6639
Mailing address
1900 NORTH LOOP W STE 390, HOUSTON, TX 77018-8148
(713) 694-6066
(713) 694-6067

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
152373
MT
207RG0100X
Gastroenterology Physician
Primary
N5738
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362227602
TX
Enumeration date
10/10/2006
Last updated
03/28/2025
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