Individual
SUSHRUTI BOORLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6957 W PLANO PKWY STE 1000, PLANO, TX 75093-1621
(972) 939-8294
(214) 731-0240
Mailing address
6957 W PLANO PKWY STE 1000, PLANO, TX 75093-1621
(972) 939-8294
(214) 731-0240
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M7054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216678701
—
TX
05
—
216678702
—
TX
05
—
216678703
—
TX
05
—
216678705
—
TX
Enumeration date
07/08/2010
Last updated
03/05/2022
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