Individual
SMITHA RUDRARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4716 ALLIANCE BLVD STE 775, PLANO, TX 75093
(469) 800-6000
(469) 800-6000
Mailing address
4716 ALLIANCE BOULEVARD, STE 775, PLANO, TX 75093-5371
(469) 800-6069
(469) 800-6061
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
N5984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217842801
—
TX
05
—
217842802
—
TX
01
—
P00882615
RAILROAD MEDICARE
TX
Enumeration date
07/10/2007
Last updated
04/14/2019
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