Individual
VIDYA JAGADEESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 INWOOD RD, DALLAS, TX 75235-7320
(214) 645-4673
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P25847
MD
207RI0200X
Infectious Disease Physician
Primary
U5131
TX
Other
Enumeration date
07/16/2010
Last updated
08/21/2023
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