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1790820736
SANDEEP KODITYAL
SHENANDOAH, TX
NPI
1790820736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: TX L6990)
Enumeration Date
2007-02-20
Last Update Date
2018-10-26
Business Address
SANDEEP KODITYAL MD
18488 INTERSTATE 45 S
SHENANDOAH, TX 77384-4118
Phone number: 281-569-2100
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Mailing Address
SANDEEP KODITYAL MD
22710 PROFESSIONAL DR STE 102
KINGWOOD, TX 77339-6009
Phone number: 281-358-2850
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