OrganizationVijaya Kavikondala Md PaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4557 Kentucky Dr, Plano, TX 75024-3984(972) 491-0795PECOS EnrollmentBased on the most recent information from CMS, provider Vijaya Kavikondala Md Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1194031633Provider TypeOrganizationFull NameVijaya Kavikondala Md PaSubpartNoEnumeration Date8/22/2010Last Updated8/22/2010Contact InformationPractice LocationPractice Address4557 Kentucky Dr, Plano, TX 75024-3984Phone(972) 491-0795Fax(972) 491-0795Mailing LocationMailing Address4557 Kentucky Dr, Plano, TX 75024-3984Phone(972) 491-0795Fax(972) 491-0795Authorized OfficialNameKavikondala, Vijaya (Director)Phone(972) 804-4936Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseM2666Texas