Healthcare Provider Details

I. General information

NPI: 1053349027
Provider Name (Legal Business Name): SUREKHA PERLMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6124 W PARKER RD SUITE 332
PLANO TX
75093
US

IV. Provider business mailing address

6124 W PARKER RD SUITE 332
PLANO TX
75093
US

V. Phone/Fax

Practice location:
  • Phone: 972-981-7812
  • Fax: 972-981-7836
Mailing address:
  • Phone: 972-981-7812
  • Fax: 972-981-7836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberK6230
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: