Paspula, Raja Prakasham

Paspula, Raja Prakasham is an individual health care provider with primary practice located at 9202 Elam Rd Southeast Dallas Health Center, Dallas TX 75217-4151. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Paspula, Raja Prakasham can be contacted via phone (214) 266-1706.

Contact Information

Primary practice address
9202 Elam Rd Southeast Dallas Health Center Dallas TX 75217-4151
Phone: (214) 266-1706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 224658 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 055701A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 217823 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X M6333 Texas

Profile Details

NPI number 1659331502
LBN Legal business name Paspula, Raja Prakasham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jan 21st, 2013 - about 13 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 1659331502 NPPES
Texas MEDICAID 184979601
Texas Other 8W8857
Texas MEDICAID 184979602

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