Vemula, Suresh
Vemula, Suresh is an individual health care provider with primary practice located at 12221 Merit Drive Suite 910, Dallas TX 75251. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vemula, Suresh can be contacted via phone (469) 374-3850.Contact Information
Primary practice address
12221 Merit Drive Suite 910
Dallas TX 75251
Phone: (469) 374-3850
Fax: (469) 374-3851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD424754 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD424754 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M9074 | Texas |
Profile Details
| NPI number | 1013983642 |
|---|---|
| LBN Legal business name | Vemula, Suresh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Dec 20th, 2012 - about 12 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 | 1013983642 | NPPES |
| New York | MEDICAID | 02580096 | |
| New York | MEDICAID | 193187501 | |
| New York | Other | GU039812 | |
| New York | MEDICAID | 1010956470001 |
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