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Individual

RAMAVATHI NANDYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4411 MEDICAL DR, SUITE 300, SAN ANTONIO, TX 78229-3822
(210) 614-5400
(210) 614-2413
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L9384
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168974705
TX
01
8CW806
BCBS TX
01
P00979606
RAILROAD MEDICARE
TX
01
TXB133020
MEDICARE
TX
Enumeration date
03/28/2006
Last updated
07/21/2022
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