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NPI Code Detail

MEDICARE: SUDHA RAMAKRISHNA M.D.

MEDICARE: SUDHA RAMAKRISHNA M.D.
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
12083X0100XOccupational Medicine PhysicianE7715TX

General Provider Information

NPI Number : 1144421777
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUDHA RAMAKRISHNA M.D.
Provider Business Mailing Address
First Line : 5080 SPECRUM DR
Second Line : SUITE 1200W
City : ADDISON
State : TX
Zip : 75001-4625
Country : US
Telephone Number : 972-364-8000
Fax Number :
Provider Business Practice Location Address
First Line : 15810 MIDWAY RD
Second Line :
City : ADDISON
State : TX
Zip : 75001-4259
Country : US
Telephone Number : 615-778-4066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 01/19/2010

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