Rudraraju, Smitha
Rudraraju, Smitha is an individual health care provider with primary practice located at 4716 Alliance Blvd Ste 775 , Plano TX 75093. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Rudraraju, Smitha can be contacted via phone (469) 800-6000.Contact Information
Primary practice address
4716 Alliance Blvd Ste 775
Plano TX 75093
Phone: (469) 800-6000
Fax: (469) 800-6000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | N5984 | Texas |
Profile Details
| NPI number | 1104024371 |
|---|---|
| LBN Legal business name | Rudraraju, Smitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Apr 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104024371 | NPPES |
| Texas | MEDICAID | 217842801 | |
| Texas | MEDICAID | 217842802 | |
| Texas | Other | P00882615 |
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