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Individual

DR. SRIDEVI JUVVADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2021 N MACARTHUR BLVD, SUITE 400, IRVING, TX 75061
(972) 256-3537
(972) 255-7916
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L4997
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157309903
TX
05
157309904
TX
01
P01154875
RAILROAD MEDICARE
TX
Enumeration date
06/15/2005
Last updated
09/07/2018
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