Individual
DR. SUDEEP BURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8440 WALNUT HILL LN, SUITE 510, DALLAS, TX 75231-3833
(214) 345-4406
(214) 345-5543
Mailing address
8440 WALNUT HILL LN, SUITE 510, DALLAS, TX 75231-3833
(214) 345-4406
(214) 345-5543
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G0667
TX
2085R0202X
Diagnostic Radiology Physician
Primary
G0667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083687601
—
TX
05
—
103370601
—
TX
Enumeration date
06/15/2006
Last updated
05/08/2013
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