Healthcare Provider Details

I. General information

NPI: 1780896894
Provider Name (Legal Business Name): SUMEET ASRANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 WORTH ST SUITE 860
DALLAS TX
75246-2003
US

IV. Provider business mailing address

3410 WORTH ST SUITE 860
DALLAS TX
75246-2003
US

V. Phone/Fax

Practice location:
  • Phone: 214-820-8500
  • Fax: 214-820-0993
Mailing address:
  • Phone: 214-820-8500
  • Fax: 214-820-0993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2005016390
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number103868
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberP4141
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number51042
License Number StateMN
# 5
Primary TaxonomyY
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License NumberP4141
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: