Individual
ANITHA VEERASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4161 MCKINNEY AVE, SUITE 300, DALLAS, TX 75204-8213
(214) 219-6655
(214) 219-6660
Mailing address
4161 MCKINNEY AVE, SUITE 300, DALLAS, TX 75204-8213
(214) 219-6655
(214) 219-6660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179499201
—
TX
05
—
179499202
—
TX
01
—
8BU823
BCBS
TX
Enumeration date
12/09/2005
Last updated
08/23/2013
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