Pasala, Radha
Pasala, Radha is an individual health care provider with primary practice located at 1206 W Henderson St Ste C , Cleburne TX 76033-8772. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Pasala, Radha can be contacted via phone (817) 877-5858.Contact Information
Primary practice address
1206 W Henderson St Ste C
Cleburne TX 76033-8772
Phone: (817) 877-5858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P4225 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | P4225 | Texas |
Profile Details
| NPI number | 1871753780 |
|---|---|
| LBN Legal business name | Pasala, Radha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1871753780 | NPPES |
| Texas | Other | P4225 | TEXAS MEDICAL LICENSE |
| Texas | Other | R0196810 | TEXAS MEDICAL LICENSE |
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