Individual
MEENA GOPAL PATHIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5920 SARATOGA BLVD, SUITE 570, CORPUS CHRISTI, TX 78414-4103
(361) 985-8100
(361) 985-8131
Mailing address
5920 SARATOGA BLVD, SUITE 570, CORPUS CHRISTI, TX 78414-4103
(361) 985-8100
(361) 985-8131
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G9185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115227402
—
TX
01
—
86V990
BCBS
TX
Enumeration date
09/02/2005
Last updated
11/17/2011
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