Pasala, Radha

Pasala, Radha is an individual health care provider with primary practice located at 1206 W Henderson St Ste C , Cleburne TX 76033-8772. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Pasala, Radha can be contacted via phone (817) 877-5858.

Contact Information

Primary practice address
1206 W Henderson St Ste C Cleburne TX 76033-8772
Phone: (817) 877-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P4225 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X P4225 Texas

Profile Details

NPI number 1871753780
LBN Legal business name Pasala, Radha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Mar 7th, 2023 - about 3 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 1871753780 NPPES
Texas Other P4225 TEXAS MEDICAL LICENSE
Texas Other R0196810 TEXAS MEDICAL LICENSE

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