Individual
DR. SANJAYANTH R CHAMAKURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1866 KELLER PKWY STE B, KELLER, TX 76248-3763
(682) 337-3810
(682) 337-3817
Mailing address
1866 KELLER PKWY STE B, KELLER, TX 76248-3763
(682) 337-3810
(682) 337-3817
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
Q0021
TX
207UN0901X
Nuclear Cardiology Physician
Q0021
TX
Other
Enumeration date
10/04/2005
Last updated
05/09/2022
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