Basavaraju, Renuka Vijay
Basavaraju, Renuka Vijay is an sole proprietor health care provider with primary practice located at 2021 N Macarthur Blvd Ste 225 , Irving TX 75061-2219. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Basavaraju, Renuka Vijay can be contacted via phone (972) 253-4370.Contact Information
Primary practice address
2021 N Macarthur Blvd Ste 225
Irving TX 75061-2219
Phone: (972) 253-4370
Fax: (855) 808-8622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | K9020 | Texas |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | K9020 | Texas |
Profile Details
| NPI number | 1982720199 |
|---|---|
| LBN Legal business name | Basavaraju, Renuka Vijay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Aug 13th, 2024 - 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.
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