Individual
NIDHI PARIKH KUDUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10350 BANDERA RD, SAN ANTONIO, TX 78250
(210) 450-6530
Mailing address
10350 BANDERA RD, SAN ANTONIO, TX 78250-5615
(210) 450-6530
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
S1157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398660601
—
TX
Enumeration date
04/22/2016
Last updated
07/25/2019
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