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Individual

VISHAAL SAKTHIVELNATHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
712 TEXAS AVEGALVESTON TX 77555, GALVESTON, TX 77555-0001
(409) 772-1369
Mailing address
PO BOX 650859, DALLAS, TX 75265-0859

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10090020
TX

Other

Enumeration date
05/30/2024
Last updated
05/30/2024
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