Individual
MS. CHANDANA KODURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 N I 35, WAXAHACHIE, TX 75165-5240
(469) 843-4280
Mailing address
2400 N I 35, WAXAHACHIE, TX 75165-5240
(469) 843-4280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P9214
TX
Other
Enumeration date
08/17/2009
Last updated
04/25/2022
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