Teerdhala, Sudha
Teerdhala, Sudha is an individual health care provider with primary practice located at 4700 N Galloway Ave , Mesquite TX 75150-1516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Teerdhala, Sudha can be contacted via phone (972) 686-6411.Contact Information
Primary practice address
4700 N Galloway Ave
Mesquite TX 75150-1516
Phone: (972) 686-6411
Fax: (972) 686-0594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | K4266 | Texas |
Profile Details
| NPI number | 1700828548 |
|---|---|
| LBN Legal business name | Teerdhala, Sudha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | May 8th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700828548 | NPPES |
| Texas | MEDICAID | 040628201 | |
| Texas | Other | 8R1565 | |
| Texas | MEDICAID | 101119902 |
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