Individual
DR. CHAITANYA INDUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13625 RONALD REAGAN BLVD, BLDG 9, STE 100, CEDAR PARK, TX 78613
(512) 856-5645
Mailing address
13625 RONALD REAGAN BLVD, BLDG 9, STE 100, CEDAR PARK, TX 78613-2073
(512) 856-5645
(512) 729-6441
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
P9880
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
P9880
TX
Other
Enumeration date
04/29/2010
Last updated
06/19/2024
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