Individual
DR. GEORGE VINU IPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3417 GASTON AVE, SUITE 1100, DALLAS, TX 75246-2016
(469) 800-9000
(469) 800-9140
Mailing address
3417 GASTON AVE, SUITE 1100, DALLAS, TX 75246-2016
(469) 800-9000
(469) 800-9140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q2304
TX
208M00000X
Hospitalist Physician
036126753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036126753
—
IL
05
—
3467490-03
—
TX
01
—
P01021495
RAILROAD MEDICARE PTAN
IL
Enumeration date
12/03/2010
Last updated
04/04/2022
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