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NPI Code Detail

MEDICARE: SAI LAVANYA PERAMALA

MEDICARE: SAI LAVANYA PERAMALA
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
1122300000XDentist30243TX

General Provider Information

NPI Number : 1659787521
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAI LAVANYA PERAMALA
Provider Business Mailing Address
First Line : 3030 LBJ FWY
Second Line : SUITE 1400
City : DALLAS
State : TX
Zip : 75234-7781
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5848 ABRAMS RD
Second Line :
City : DALLAS
State : TX
Zip : 75214-1603
Country : US
Telephone Number : 214-545-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2014
Last Update Date : 07/10/2014

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Directions to “ SAI LAVANYA PERAMALA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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