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Individual

MEHER SINDHOORA MAVURAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
621 CAMDEN ST STE 202, SAN ANTONIO, TX 78215-1644
(210) 253-3422
(210) 764-4231
Mailing address
PO BOX 38150, SHREVEPORT, LA 71133-8150
(318) 631-9121
(318) 631-9126

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD.207117
LA
207RG0100X
Gastroenterology Physician
Primary
U4428
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2375920
LA
Enumeration date
09/06/2011
Last updated
08/14/2024
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