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Individual

AADITYA NAGARAJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
ONE BAYLOR PLAZA, BCM 620, BAYLOR COLLEGE OF MEDICINE, ME, HOUSTON, TX 77030
(713) 798-5588
Mailing address
2255 BRAESWOOD PARK DR APT 259, HOUSTON, TX 77030-4432
(214) 693-0633

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10052922
TX
2085R0202X
Diagnostic Radiology Physician
Primary
T1787
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
592014
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING
TX
Enumeration date
05/18/2015
Last updated
12/12/2023
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