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Organization
H MEDA MD PA
Active
Organization
H MEDA MD PA
Active
Other names
ADI MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
HARININEERAJA MEDA MD (PHYSICIAN)
(214) 778-2390
Entity
Organization
Contact information
Practice address
4508 LEGACY DR, STE 400, PLANO, TX 75024-2188
(214) 778-2390
(214) 778-2394
Mailing address
4508 LEGACY DR, STE 400, PLANO, TX 75024-2188
(214) 778-2390
(214) 778-2394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065RH
GROUP BCBS
TX
Enumeration date
02/26/2008
Last updated
02/18/2010
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