Vijaya Lakshmi Sudanagunta
Family Doctor - Geriatric Medicine
445 E Fm 1382 Suite 3354
Cedar Hill
, Texas 75104-6047
Vijaya Lakshmi Sudanagunta
Family Doctor - Geriatric Medicine
445 E Fm 1382 Suite 3354
Cedar Hill
, Texas 75104-6047
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Vijaya Lakshmi Sudanagunta
- 445 E Fm 1382 Suite 3354
- Cedar Hill, TX
- Zip : 75104-6047
- Phone :
Second Address
- Vijaya Lakshmi Sudanagunta
- 445 E Fm 1382 Suite 3354
- Cedar Hill, TX
- Zip : 75104-6047
- Phone : (214) 325-1969
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | N0484 | TX |
National Provider Identifier
| NPI | 1265442602 |
|---|---|
| Provider Name | Vijaya Lakshmi Sudanagunta |
| First Address | Cedar Hill, TX 75104-6047 |
| Second Address | Cedar Hill, TX 75104-6047 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 08/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I22798 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.