Anirudh Tadakamalla
Internal Medicine in Wichita Falls, TX. Individual provider (NPI-1).
NPI number1134740970
StatusActive
Last updated in NPPESJul 6, 2023
Details
- NPI
- 1134740970
- Entity type
- Individual (NPI-1)
- Name
- Anirudh Tadakamalla
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2020
- Certification date
- Jul 6, 2023
- Last updated
- Jul 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | U2647 | TX | Yes |
| 208M00000X | Hospitalist | U2647 | TX | |
| 207R00000X | Internal Medicine | R78093 | AZ |
Practice location
1631 11th StreetUnit B
Wichita Falls, TX 76301-4332
Phone 940-263-3000 · Fax 940-263-3018
Mailing address
1631 11th StreetUnit B
Wichita Falls, TX 76301-4332
Phone 940-263-3000 · Fax 940-263-3018
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