Individual
PAVAN KUMAR REDDY PAMADURTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0051
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
754L
MS
2084P0800X
Psychiatry Physician
Primary
P5865
TX
Other
Enumeration date
08/05/2009
Last updated
10/14/2024
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