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Soumya Mamidi

NPI 1477900496 · on the registry since 2016 · sole proprietor

Practice

Address
700 E Marshall Ave
Longview, TX 75601
Phone
(903) 315-1488
Organisation at this address
John Kirk Md Pa
Baylor Pathology
Talus Assist Pllc
Ortho Services Pllc
Longview Assist Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
149

Additional practice sites

  • 111 E 210th St, Bronx, NY

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas