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Organization
SREEBHAVI PROFESSIONAL CORPORATION
Active
Organization
SREEBHAVI PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVEKANAND DASARI MD (OWNER/PHYSICIAN)
(201) 289-7621
Entity
Organization
Contact information
Practice address
340 HAWKINS RUN RD, MIDLOTHIAN, TX 76065-6638
(972) 546-5660
(972) 782-5232
Mailing address
340 HAWKINS RUN RD, MIDLOTHIAN, TX 76065-6638
(972) 546-5660
(972) 782-5232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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