Bireddy, Suman

Bireddy, Suman is an individual health care provider with primary practice located at 3125 Matlock Rd Ste 107 , Arlington TX 76015-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bireddy, Suman can be contacted via phone (817) 899-8109.

Contact Information

Primary practice address
3125 Matlock Rd Ste 107 Arlington TX 76015-2905
Fax: (888) 878-5157
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M3472 Texas

Profile Details

NPI number 1093765299
LBN Legal business name Bireddy, Suman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jun 21st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093765299 NPPES
Texas MEDICAID 182833704

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