Koduvath, Viji
Koduvath, Viji is an individual health care provider with primary practice located at 1837 N Garland Ave , Garland TX 75040-4561. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koduvath, Viji can be contacted via phone (469) 432-4107.Contact Information
Primary practice address
1837 N Garland Ave
Garland TX 75040-4561
Phone: (469) 432-4107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP128758 | Texas |
Profile Details
| NPI number | 1083083364 |
|---|---|
| LBN Legal business name | Koduvath, Viji |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2015 |
| Last updated | Jan 13th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083083364 | NPPES |
| Texas | MEDICAID | 355703501 |
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