Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SMART O IDEMUDIA, M.D., PHD
Active Sole ProprietorDR. SMART O IDEMUDIA, M.D., PHD is a Internal Medicine healthcare provider located in LEWISVILLE, Texas. NPI 1154364974 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · LEWISVILLE, TX
Registration Details
- NPI Number
- 1154364974
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.183610302839 yrs)
- Last Updated
- Mar 5, 2008
- Licenses
-
J91000 (TX)J91000 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 W. SOUTHWEST PKWYLEWISVILLE, TX, 75067Browse TX providers · Browse ZIP 75067
- Phone
- 9724206777
- Fax
- 9724200656
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in LEWISVILLE, TX
| Name | Credential | NPI |
|---|---|---|
| DR. SREEVANI KUNCHAM | MD | 1528030210 |
| ARUNPRIYA VADIVELU | MD | 1285695510 |
| DR. EDWARD NORRIS KREMER | M.D. | 1285691006 |
| MITALI GOYAL | M.D. | 1639123029 |
| SAJI JOHN | MD | 1982641247 |
| DR. MICHAEL C. CHIANG | M.D. | 1306888342 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.