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Individual

DR. MADHURI M. SOPIRALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-0560
(214) 633-5555
Mailing address
PO BOX 845347 CENTRAL CREDENTIALING, DALLAS, TX 75284-7208
(469) 291-3363

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
35085766
OH
207RI0200X
Infectious Disease Physician
Primary
R6912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201119880
IN
05
2761766
OH
Enumeration date
03/26/2007
Last updated
08/23/2021
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