Individual
DR. SURESH K CHIRUMAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2005 W PARK DR STE 200, IRVING, TX 75061-2034
(214) 358-2300
(214) 579-6984
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
T4727
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T4727
TX LICENSE
TX
Enumeration date
10/13/2011
Last updated
11/13/2023
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