Individual
KENT K SORAJJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 COULTER ST, SUITE D, AMARILLO, TX 79106
(806) 359-5461
(806) 359-1075
Mailing address
1900 COULTER ST, SUITE D, AMARILLO, TX 79106
(806) 359-5461
(806) 359-1075
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
E5945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097335601
—
TX
Enumeration date
08/22/2006
Last updated
07/08/2007
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