Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | K6230 | TX |
NPI | 1053349027 |
---|---|
Provider Name | Surekha Perlman |
First Address | Plano, TX 75093 |
Second Address | Plano, TX 75093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 20/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0073DB | BCBS (01) | TX |
080422101 | (05) | TX |
G80757 | (02) |