Organization
NANDAN KUMAR PUVVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANDAN K PUVVADA M.D. (SOLE PROPRIETOR)
(903) 723-0033
Entity
Organization
Contact information
Practice address
4002 S LOOP 256, SUITE L, PALESTINE, TX 75801-8491
(903) 723-0033
(903) 723-0036
Mailing address
4002 S LOOP 256, SUITE L, PALESTINE, TX 75801-8491
(903) 723-0033
(903) 723-0036
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M5002
TX
Other
Enumeration date
03/28/2007
Last updated
10/01/2008
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