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NPI Code Detail

MEDICARE: ANURADHA LINGAM MD

MEDICARE: ANURADHA LINGAM MD
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
1207RH0003XHematology & Oncology PhysicianM8129TX

General Provider Information

NPI Number : 1942342696
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANURADHA LINGAM MD
Provider Business Mailing Address
First Line : 104 FLINTSHIRE WAY
Second Line :
City : COPPELL
State : TX
Zip : 75019-2677
Country : US
Telephone Number : 410-312-2725
Fax Number :
Provider Business Practice Location Address
First Line : 601 W TERRELL AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3243
Country : US
Telephone Number : 817-852-8300
Fax Number : 817-852-8349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 01/18/2012

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