Individual
ANVITHA SOUNDARARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-8000
Mailing address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10085787
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2023
Last updated
11/05/2024
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