Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | Q9278 | TX |
NPI | 1053691139 |
---|---|
Provider Name | Reuben Jonathan Arasaratnam |
First Address | Dallas, TX 75284-7208 |
Second Address | Dallas, TX 75390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2011 |
Last Update Date | 17/06/2019 |