Individual
RIDDHI PATODIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(512) 788-2947
Mailing address
1708 BOSCELLO CT, LEANDER, TX 78641-3864
(512) 788-2947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
332254
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2021
Last updated
09/01/2022
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