MEDICARE: BHUVANESWARI DURAIRAJ DO

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	207Q00000X	Family Medicine Physician	V7504	TX

General Provider Information

NPI Number	:	1942797014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHUVANESWARI DURAIRAJ DO

Provider Business Mailing Address
First Line	:	1400 N COIT RD STE 2302
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6663
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 N COIT RD STE 2302
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6663
Country	:	US
Telephone Number	:	469-584-7230
Fax Number	:

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

Provider Enumeration Date	:	04/15/2018
Last Update Date	:	04/10/2026

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