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Individual

DR. MAYA S PATHIKONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8082
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039AZ
GROUP BCBS
TX
05
079684901
TX
05
079684902
TX
05
118369103
TX
01
742777132
TAX ID
TX
01
88070B
INDIVIDUAL BCBS
TX
Enumeration date
06/09/2006
Last updated
04/01/2010
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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