TEJASWI KATAKAM

SHREVEPORT, LA
NPI1629647755
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  V1508)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-22
Last Update Date2024-06-27
Business Address
TEJASWI KATAKAM
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-330-7615
Mailing Address
TEJASWI KATAKAM
613 16TH ST
ARGYLE, TX 76226-3389
Phone number: 571-309-5636