Kodukula, Dipa
Kodukula, Dipa is an individual health care provider with primary practice located at 3419 El Salido Pkwy Ste 100, Cedar Park TX 78613-5639. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kodukula, Dipa can be contacted via phone (512) 918-3937.Contact Information
Primary practice address
3419 El Salido Pkwy Ste 100
Cedar Park TX 78613-5639
Phone: (512) 918-3937
Fax: (512) 918-2028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6753TG | Texas |
Profile Details
| NPI number | 1730163494 |
|---|---|
| LBN Legal business name | Kodukula, Dipa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730163494 | NPPES |
| Texas | Other | 6753TG | OPTOMETRY |
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