Individual
DR. MEERA SHREEDHARA VASUDHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5112
(903) 408-5124
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
M5507
TX
207RX0202X
Medical Oncology Physician
Primary
M5507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194503201
—
TX
05
—
194503202
—
TX
05
—
194503203
—
TX
05
—
194503204
—
TX
05
—
194503274
—
TX
01
—
P00745455
RAILROAD MEDICARE
TX
Enumeration date
05/22/2007
Last updated
03/09/2021
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