Individual
DR. RENUKA VIJAY BASAVARAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2021 N MACARTHUR BLVD STE 225, IRVING, TX 75061-2219
(972) 253-4370
(855) 808-8622
Mailing address
5350 INDEPENDENCE PKWY STE 100, FRISCO, TX 75035-4653
(972) 253-4370
(855) 808-8622
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
K9020
TX
207RR0500X
Rheumatology Physician
Primary
K9020
TX
Other
Enumeration date
03/21/2007
Last updated
08/13/2024
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