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NPI Code Detail

MEDICARE: VISHU LAMMATA M.D.

MEDICARE:   VISHU  LAMMATA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianG1942TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28AJ200OTHERTXBCBS

General Provider Information

NPI Number : 1811181134
Entity Type Code : Individual
Provider Name (Legal Business Name) : VISHU LAMMATA M.D.
Provider Business Mailing Address
First Line : 925 YORK DR
Second Line :
City : DESOTO
State : TX
Zip : 75115-2043
Country : US
Telephone Number : 972-572-1600
Fax Number : 972-572-2133
Provider Business Practice Location Address
First Line : 925 YORK DR
Second Line :
City : DESOTO
State : TX
Zip : 75115-2043
Country : US
Telephone Number : 972-572-1600
Fax Number : 972-572-2133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2007
Last Update Date : 11/28/2022

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Directions to “ VISHU LAMMATA M.D.” Practice Location

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