| Vijayalakshmi Nandimandalam, M.d., P.a. | |
|
1211 E 6th St Suite 100 Bonham TX 75418-4095 | |
| (903) 640-4700 | |
| (903) 640-1975 |
| Full Name | Vijayalakshmi Nandimandalam, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 E 6th St, Bonham, Texas |
| Authorized Official Name and Position | Becky Blevins (OFFICE MANAGER) |
| Authorized Official Contact | 9036404700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijayalakshmi Nandimandalam, M.d., P.a. 1211 E 6th St Suite 100 Bonham TX 75418-4095 Ph: (903) 640-4700 | Vijayalakshmi Nandimandalam, M.d., P.a. 1211 E 6th St Suite 100 Bonham TX 75418-4095 Ph: (903) 640-4700 |
| NPI Number | 1023201241 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023201241 | NPI | - | NPPES |
| 195422401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M5849 (Texas) | Primary |
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