Individual
DR. SAROJA VISWAMITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 E SAVANNAH AVE, STE 10, MCALLEN, TX 78503-1727
(956) 668-9900
(956) 668-9902
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-6680
(956) 362-6688
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J9418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126545605
—
TX
01
—
82970X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/15/2005
Last updated
03/13/2019
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