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VIJI PRADEEP KODUVATH PLLC NPI 1528528114


NPI Information

NPI: 1528528114
Provider Name: VIJI PRADEEP KODUVATH PLLC

Doing Business As: MEDICOS FAMILY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2168682

Address:
1837 N GARLAND AVE
GARLAND, TX
ZIP 75040
Phone: (469) 432-4107
Get Directions

VIJI PRADEEP KODUVATH PLLC is a family medicine in Garland, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VIJI PRADEEP KODUVATH PLLC NPI is 1528528114. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medicos Family Clinic.

The provider's business location address is:

1837 N GARLAND AVE
GARLAND, TX
ZIP 75040-561
Phone: (469) 432-4107

The provider's authorized official is Alison Temple .
The authorized official title is Billing Administrator and has the following contact phone number (817) 757-2902.

The CLIA number assigned to this NPI record is 45D2168682 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2019 and was last updated on 5/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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