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Individual

PERIYANAN VADUGANATHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11914 ASTORIA BLVD, STE 100, HOUSTON, TX 77089-6046
(281) 481-5444
(281) 481-5460
Mailing address
11914 ASTORIA BLVD, STE 100, HOUSTON, TX 77089-6046
(281) 481-5444
(281) 481-5460

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J7240
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148398401
TX
Enumeration date
06/16/2005
Last updated
04/20/2011
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