Provider Demographics
NPI:1669720140
Name:VADLAMUDI, NAGA SITARAM (MD)
Entity type:Individual
Prefix:
First Name:NAGA
Middle Name:SITARAM
Last Name:VADLAMUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 802772
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75380-2772
Mailing Address - Country:US
Mailing Address - Phone:972-484-7700
Mailing Address - Fax:972-484-7718
Practice Address - Street 1:2636 TIBBETS DR
Practice Address - Street 2:STE. 110
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6919
Practice Address - Country:US
Practice Address - Phone:817-858-0065
Practice Address - Fax:817-283-5520
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ3608207RI0200X
TNMD0000050943207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease