Individual
DR. VEENA RAJARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, PATHOLOGY LAB, DALLAS, TX 75390-7201
(214) 648-4125
(214) 648-4070
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-2993
(214) 456-0779
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
P4101
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
P4101
TX
207ZP0213X
Pediatric Pathology Physician
P4101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111332
—
IL
Enumeration date
07/29/2005
Last updated
02/06/2013
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