Individual
RADHA KISHAN ADUSUMILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3103 MEGAN ST, EAGLE PASS, TX 78852-5891
(830) 773-0212
(830) 773-0212
Mailing address
16620 SAN PEDRO AVE STE 300, SAN ANTONIO, TX 78232-2679
(210) 614-1231
(210) 809-4989
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
U1849
TX
Other
Enumeration date
06/19/2018
Last updated
03/21/2023
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