Viji P Koduvath (NPI# 1083083364, PAC ID# 8426353889) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083083364 |
| PAC ID by PECOS | 8426353889 |
| Professional Enrollment ID | I20160223000402 |
| Full Name | Viji P Koduvath |
| Address |
1837 N Garland Ave Medicos Family Clinic Garland TX 75040-4561 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450044 | UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. |
| Address | Phone | Organization |
|---|---|---|
| 5303 Harry Hines Blvd, Dallas, TX 75390-7208 | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS | |
| 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS | |
| 1837 N Garland Ave, Medicos Family Clinic, Garland, TX 75040-4561 |
| Street Address |
1837 N GARLAND AVE MEDICOS FAMILY CLINIC |
| City | GARLAND |
| State | TX |
| Zip | 75040-4561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott James Nelson | Podiatry | 3930 Naaman School Rd, Suite C, Garland, TX 75040-0914 | |
| Teresa K Jones | Chiropractic | 3930 Naaman School Rd B, Garland, TX 75040-0967 | |
| Pui V Tran | Optometry | 1138 Belt Line Rd, Suite 230, Garland, TX 75040-1994 | |
| Soby Abraham | Optometry | Focused Eye Care, Pa | 3121 N George Bush Hwy, Suite 101, Garland, TX 75040-2753 |
| Samantha N Naidoo | Optometry | Focused Eye Care, Pa | 3121 N George Bush Hwy, Suite 101, Garland, TX 75040-2753 |
| Brian Hunter | Physical Therapy | Achieve Physical Therapy and Performance Limited Partnership | 5255 N George Bush Hwy 200, Achieve Physical Therapy, Garland, TX 75040-2779 |
| Angelique Loncar | Physical Therapy | Achieve Physical Therapy and Performance Limited Partnership | 5255 N George Bush Hwy 200, Achieve Physical Therapy, Garland, TX 75040-2779 |
| Rachel Dell | Physical Therapy | Achieve Physical Therapy and Performance Limited Partnership | 5255 N George Bush Hwy 200, Achieve Physical Therapy, Garland, TX 75040-2779 |
| Emily Thoes | Physical Therapy | Achieve Physical Therapy and Performance Limited Partnership | 5255 N George Bush Hwy 200, Achieve Physical Therapy, Garland, TX 75040-2779 |
| Neal Rajendra Patel | Physical Therapy | Achieve Physical Therapy and Performance Limited Partnership | 5255 N George Bush Hwy 200, Achieve Physical Therapy, Garland, TX 75040-2779 |
| Find all physicians in zip 75040 | |||
| City | GARLAND |
| Zip Code | 75040 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GARLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Viji P Koduvath.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.