Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Viji Koduvath

Individual provider Family Nurse Practitioner · NPI 1083083364

Viji Koduvath is a Nurse Practitioner in Garland, Texas. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
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Practice location Address checks out

1837 N Garland Ave
Garland, TX 75040-4561
Phone: (469) 432-4107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP128758 (TX)

Record details

NPI number1083083364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2015
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Garland