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1619139441

NPI Code Detail

MEDICARE: DR. SURESH RAJ SEDHAIN MD

MEDICARE: DR. SURESH RAJ SEDHAIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	MD435283	PA
2	2084P0800X	Psychiatry Physician	Q5092	TX
3	2084P0800X	Psychiatry Physician	MD435283	PA
4	2084P0804X	Child & Adolescent Psychiatry Physician	Q5092	TX

General Provider Information

NPI Number	:	1619139441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SURESH RAJ SEDHAIN MD

Provider Business Mailing Address
First Line	:	346 PARK HILL LN
Second Line	:
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-1126
Country	:	US
Telephone Number	:	412-805-1440
Fax Number	:

Provider Business Practice Location Address
First Line	:	9708 SKILLMAN ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-5150
Country	:	US
Telephone Number	:	214-221-5433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	12/08/2025

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Directions to “ DR. SURESH RAJ SEDHAIN MD” Practice Location

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