VICHIN PURI (NPI# 1003060211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003060211 |
Entity Type | Individual |
Full Name | VICHIN PURI |
Credential | M.D. |
Practice Address |
1411 N. Beckley Ave. Pavilion IIi, Suite 268 Dallas TX 75203-7520 |
Mailing Address |
3400 W Wheatland Rd Bldg 3 # 360 Dallas TX 75237 |
Practice Telephone | 2149474400 |
Practice Fax Number | 2149474404 |
Mailing Telephone | 2148844700 |
Mailing Fax Number | 2148844761 |
Enumeration Date | 2008-11-14 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | R1109 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | RAILROAD MEDICARE | P01473968 | 01 |
TN | Q002437 | 05 | |
MS | 03977069 | 05 | |
TN | BCBS | 6002233 | 01 |
AR | 201068001 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1265 Union Ave, Suite 184, Memphis, TN 381043415 | 9015169183 | 9015168993 |
Street Address |
1411 N. BECKLEY AVE. PAVILION III, SUITE 268 |
City | DALLAS |
State | TX |
Zip Code | 75203-7520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043306061 | Anne Marie Ward | Physician Assistant | 1411 N. Beckley Ave., Pavilion IIi Suite 268, Dallas, TX 75203 | 2006-10-05 |
1184943128 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 1411 N. Beckley Ave., Pav. IIi, Suite #152, Dallas, TX 75203 | 2010-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
Find all providers in zip 75203 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
1043462609 | Aldo Elmer Rafael Yarihuaman | Transplant Surgery | 621 N Hall St Ste 120, Dallas, TX 75226-1307 | 2008-10-15 |
1235393208 | Tiffany L Anthony | Transplant Surgery | 7777 Forest Ln Ste B446, Dallas, TX 75230 | 2008-07-17 |
1699805911 | Steven I. Hanish | Transplant Surgery | 5939 Harry Hines Blvd Ste 700, Dallas, TX 75235-6243 | 2007-03-06 |
1376626523 | Dev M. Desai | Transplant Surgery | Dept of Surgical Transplantation, 5939 Harry Hines Blvd, Dallas, TX 75390-8567 | 2006-10-23 |
1457441073 | Jason Joel Schwartz | Transplant Surgery | 5939 Harry Hines Boulevard, Hq7.700, Dallas, TX 75390-9258 | 2006-10-13 |
1346288925 | Blood and Marrow Transplant Services | Transplant Surgery | 3410 Worth Street, Ste 300, Dallas, TX 75246 | 2006-06-03 |
1699389841 | Bsw Transplant Services Pllc | Transplant Surgery | 301 N Washington Ave, Dallas, TX 75246-1754 | 2020-09-04 |
1093070294 | Eric Javier Martinez | Transplant Surgery | 3410 Worth St Ste 950, Dallas, TX 75246-2064 | 2012-07-12 |
1912297961 | Anji Elizabeth Wall | Transplant Surgery | 3410 Worth St Ste 950, Dallas, TX 75246 | 2011-04-12 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.