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Sandeep Kodityal, MD
Hematology & Oncology Physician in Shenandoah, Texas
NPI 1790820736

Sandeep Kodityal is a Hematology & Oncology Physician based in Kingwood, TX and is specialized in Hematology & Oncology. Sandeep Kodityal practices in Shenandoah, TX and has the professional credentials of MD. The NPI Number for Sandeep Kodityal is 1790820736 and holds a License No. L6990 (Texas).

The current practice location address for Sandeep Kodityal is 18488 Interstate 45 S, Shenandoah, TX and can be reached out via phone at 281-569-2100.

Location: 18488 Interstate 45 S, Shenandoah, TX, 77339-6009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790820736
Provider Name
Sandeep Kodityal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18488 Interstate 45 S, Shenandoah, TX, 77339-6009
Phone Number
281-569-2100
Fax Number
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187751601 05 TX
institution
Provider Business Practice Location Address Details
Address
18488 Interstate 45 S
City
Shenandoah
State
Texas
Zip
77384-4118
Phone Number
281-569-2100
Fax Number
person
Provider Business Mailing Address Details
Address
18488 Interstate 45 S
City
Shenandoah
State
Texas
Zip
77384-4118
Phone Number
281-569-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
L6990 (Texas)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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