Organization
DOCCULI MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP DHANYAMRAJU (MANAGER)
(518) 301-3669
Entity
Organization
Contact information
Practice address
215 S DENTON TAP RD STE 275, COPPELL, TX 75019-5066
(918) 617-6719
Mailing address
215 S DENTON TAP RD STE 275, COPPELL, TX 75019-5066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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