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Contact Information

MAMATHA RACHERUVU, M.B.B.S.
3571 W WHEATLAND RD # 101
DALLAS, TX75237-3461
 Phone: 972-274-5555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MAMATHA RACHERUVU · (Female)

NPI # 1548573587
Status Active
Credentials M.B.B.S.
Entity Individual
Enumeration date 07/20/2010
Last updated 07/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # Q3579
Hospital affiliation(s)
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
  • MEDICAL CENTER OF PLANO - (Acute Care)
    3901 W 15TH ST
    PLANO, TX 75075
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN - (Acute Care)
    1105 CENTRAL EXPRESSWAY NORTH
    ALLEN, TX 75013
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO - (Acute Care)
    6200 W PARKER RD
    PLANO, TX 75093
  • THE HEART HOSPITAL BAYLOR PLANO - (Acute Care)
    1100 ALLIED DRIVE
    PLANO, TX 75093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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