Individual
RADHA PASALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P4225
TX
207RN0300X
Nephrology Physician
Primary
P4225
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P4225
TEXAS MEDICAL LICENSE
TX
01
—
R0196810
DPS
TX
Enumeration date
06/13/2008
Last updated
03/07/2023
Update your record
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