Vinodha Sadasivam

NPI #1093206419 in Watauga, Texas

Provider Information

NPI Number: 1093206419
Entity Type: Individual
Name: Vinodha Sadasivam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 21, 2018
Last Updated: May 21, 2018

Practice Location

Address: 6249 RUFE SNOW DR
City: Watauga
State: Texas
ZIP Code: 76148-3316
Phone: (817) 428-0371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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