Individual
WASEEM PERACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L0902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030181403
—
TX
01
—
10011273
AMERIGROUP
TX
05
—
162944602
—
TX
01
—
390343
WELLCARE
TX
01
—
86872Z
BCBS HMO
TX
01
—
8H8370
BCBS
TX
01
—
DA1849
RAILROAD MEDICARE
TX
Enumeration date
07/18/2005
Last updated
03/26/2014
Update your record
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