Boorla, Sushruti
Boorla, Sushruti is an individual health care provider with primary practice located at 6957 W Plano Pkwy Ste 1000 , Plano TX 75093-1621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Boorla, Sushruti can be contacted via phone (972) 939-8294.Contact Information
Primary practice address
6957 W Plano Pkwy Ste 1000
Plano TX 75093-1621
Phone: (972) 939-8294
Fax: (214) 731-0240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M7054 | Texas |
Profile Details
| NPI number | 1790097608 |
|---|---|
| LBN Legal business name | Boorla, Sushruti |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2010 |
| Last updated | Mar 5th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790097608 | NPPES |
| Texas | MEDICAID | 216678701 | |
| Texas | MEDICAID | 216678702 | |
| Texas | MEDICAID | 216678703 | |
| Texas | MEDICAID | 216678705 |
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