MEDICARE: SONAL REITMEYER

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	1835X0200X	Oncology Pharmacist	36357	TX

General Provider Information

NPI Number	:	1720359391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONAL REITMEYER

Provider Business Mailing Address
First Line	:	2201 INWOOD RD
Second Line	:	NC 2.852
City	:	DALLAS
State	:	TX
Zip	:	75390-9015
Country	:	US
Telephone Number	:	214-645-2682
Fax Number	:	214-645-2673

Provider Business Practice Location Address
First Line	:	2201 INWOOD RD
Second Line	:	NC 2.852
City	:	DALLAS
State	:	TX
Zip	:	75390-9015
Country	:	US
Telephone Number	:	214-645-2682
Fax Number	:	214-645-2673

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

Provider Enumeration Date	:	01/13/2012
Last Update Date	:	01/13/2012

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Directions to “ SONAL REITMEYER ” Practice Location

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