Individual
LAVANYA AMBUJAA DHARMARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-3049
(214) 633-5555
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-3049
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
T0462
TX
208M00000X
Hospitalist Physician
T0642
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2018
Last updated
12/14/2021
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