Individual
ADITYA LULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235
(214) 633-5555
Mailing address
5323 HARRY HINES BLVD # E4.300, DALLAS, TX 75390-7208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2016022456
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
S5217
TX
Other
Enumeration date
06/30/2016
Last updated
02/20/2023
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