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Individual

DR. KARTHIK DIWAKAR MEKALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601
(903) 315-2000
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
R9814
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
399470901
TX
01
P02270211
MEDICARE RAIL ROAD
TX
Enumeration date
04/11/2012
Last updated
07/23/2024
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