Viji Koduvath, | |
1837 N Garland Ave, Garland, TX 75040-4561 | |
(469) 432-4107 | |
Not Available |
Full Name | Viji Koduvath |
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Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1837 N Garland Ave, Garland, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083083364 | NPI | - | NPPES |
355703501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP128758 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Entity Name | Viji Pradeep Koduvath Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528528114 PECOS PAC ID: 1658609557 Enrollment ID: O20190829002165 |
Mailing Address | Practice Location Address |
---|---|
Viji Koduvath, 1837 N Garland Ave, Garland, TX 75040-4561 Ph: (469) 432-4107 | Viji Koduvath, 1837 N Garland Ave, Garland, TX 75040-4561 Ph: (469) 432-4107 |
Mrs. Nichole Deveraux Shearer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Clara Barton Blvd, Suite 200, Garland, TX 75042 Phone: 972-272-6561 | |
Ramona Weiss, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 N International Rd, Suite B, Garland, TX 75042 Phone: 972-494-6713 | |
Kabiru O Akere, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3641 Broadway Blvd Ste 200, Garland, TX 75043 Phone: 972-271-8666 Fax: 972-271-8668 | |
Sherlin Thomas, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4710 Maritime Cv, Garland, TX 75043 Phone: 214-809-8661 | |
Glynnis Joan Barot, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3050 S 1st St Ste 209, Garland, TX 75041 Phone: 214-501-0856 Fax: 972-608-7003 | |
Eva M. Hannin, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 802 Hopkins St Fl 2, Garland Women's Health Center, Garland, TX 75040 Phone: 214-266-0780 | |
Emile Elizabeth Ellcey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Marie Curie, Garland, TX 75042 Phone: 562-260-1104 |