Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | Q0890 | TX |
NPI | 1013258730 |
---|---|
Provider Name | Saradha Chexal |
First Address | Austin, TX 78705-1024 |
Second Address | Austin, TX 78705-1024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2013 |
Last Update Date | 11/06/2020 |