Individual
SIVAKUMARI NANDIPATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1620 E 8TH ST # 1, WESLACO, TX 78596-5587
(956) 973-9445
(956) 973-0686
Mailing address
1620 E 8TH ST # 1, WESLACO, TX 78596-5587
(956) 973-9445
(956) 973-0686
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
J9235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120645005
—
TX
Enumeration date
08/03/2006
Last updated
08/14/2014
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