Individual
AISHWARYA BUVANENDIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST # MS 01161B, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
2401 S 31ST ST # MS 01161B, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
V1045
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
07/09/2024
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