Organization
VEDAMPATTU P GANESHRAM MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEDAMPATTU P GANESHRAM MD (OWNER/SOLE MEMBER)
(940) 687-5100
Entity
Organization
Contact information
Practice address
1631 11TH ST, WICHITA FALLS, TX 76301-4322
(940) 687-5100
Mailing address
1631 11TH ST, WICHITA FALLS, TX 76301-4322
(940) 687-5100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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