Organization
SMIMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUCHITRA RAO KAMINENI MD (PHYSICIAN)
(817) 405-0345
Entity
Organization
Contact information
Practice address
7589 PRESTON RD STE 600, FRISCO, TX 75034-5675
(817) 405-0345
Mailing address
7589 PRESTON RD STE 600, FRISCO, TX 75034-5675
(817) 405-0345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P0418
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
P0418
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
P0418
TX
208000000X
Pediatrics Physician
N8163
TX
2080A0000X
Pediatric Adolescent Medicine Physician
N8163
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
N8163
TX
208D00000X
General Practice Physician
P0418
TX
208M00000X
Hospitalist Physician
P0418
TX
208VP0000X
Pain Medicine Physician
P0418
TX
Other
Enumeration date
12/09/2014
Last updated
01/03/2018
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