Mootha, Sudha Lakshmi

Mootha, Sudha Lakshmi is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Mootha, Sudha Lakshmi can be contacted via phone (214) 645-0624.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Phone: (214) 645-0624
Fax: (214) 645-0078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X J2219 Texas

Profile Details

NPI number 1043387475
LBN Legal business name Mootha, Sudha Lakshmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1043387475 NPPES
Texas MEDICAID 089984103

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