Individual
VIJAYA M DASARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 SHORELINE DR, 101, DENTON, TX 76210
(940) 898-7488
(940) 247-3006
Mailing address
3304 COLORADO BLVD STE 205, DENTON, TX 76210-6877
(940) 898-7488
(940) 243-3554
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N1604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320029703
—
TX
Enumeration date
05/02/2008
Last updated
11/29/2018
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