Manohar Vajja, MD PA

NPI #1790077279 in Irving, Texas

Provider Information

NPI Number: 1790077279
Entity Type: Organization
Organization Name: Manohar Vajja, MD PA
Primary Specialty: Internal Medicine
Enumeration Date: May 3, 2011
Last Updated: Sep 9, 2011

Practice Location

Address: 6447 MALAGA
City: Irving
State: Texas
ZIP Code: 75039-3191
Phone: (972) 910-9341

Authorized Official

Name: MANOHAR PRASAD VAJJA, MD
Title: PRESIDENT
Phone: (972) 910-9341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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