Individual
DR. SUMAN BIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3125 MATLOCK RD STE 107, ARLINGTON, TX 76015-2905
(817) 899-8109
(888) 878-5157
Mailing address
PO BOX 92, SHANNON, AL 35142-0092
(888) 212-4243
(888) 878-5157
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M3472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182833704
—
TX
Enumeration date
05/11/2006
Last updated
06/21/2019
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