Smitha Rudraraju
Rheumatology
4716 Alliance Blvd Ste 775
Plano
, Texas 75093
Smitha Rudraraju
Rheumatology
4716 Alliance Blvd Ste 775
Plano
, Texas 75093
(469) 800-6061
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Smitha Rudraraju
- 4716 Alliance Boulevard Ste 775
- Plano, TX
- Zip : 75093-5371
- Fax : (469) 800-6061
- Phone : (469) 800-6069
Second Address
- Smitha Rudraraju
- 4716 Alliance Blvd Ste 775
- Plano, TX
- Zip : 75093
- Fax : (469) 800-6000
- Phone : (469) 800-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | N5984 | TX |
National Provider Identifier
| NPI | 1104024371 |
|---|---|
| Provider Name | Smitha Rudraraju |
| First Address | Plano, TX 75093-5371 |
| Second Address | Plano, TX 75093 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2007 |
| Last Update Date | 14/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 217842801 | (05) | TX |
| 217842802 | (05) | TX |
| P00882615 | RAILROAD MEDICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.