Individual
PRAVEEN VENKATA POLAMRAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-2621
(214) 648-9570
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
V5814
TX
Other
Enumeration date
03/26/2019
Last updated
08/20/2025
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