Kosuri, Subba Raju

Kosuri, Subba Raju is an individual health care provider with primary practice located at 9 Medical Pkwy Plaza 4, Suite 207, Dallas TX 75234-7858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kosuri, Subba Raju can be contacted via phone (972) 488-9656.

Contact Information

Primary practice address
9 Medical Pkwy Plaza 4, Suite 207 Dallas TX 75234-7858
Phone: (972) 488-9656
Fax: (972) 488-9636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K6061 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X K6061 Texas

Profile Details

NPI number 1851339493
LBN Legal business name Kosuri, Subba Raju
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 28th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851339493 NPPES
Texas MEDICAID 044799706

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