Provider Demographics
NPI:1053349027
Name:PERLMAN, SUREKHA (MD)
Entity type:Individual
Prefix:
First Name:SUREKHA
Middle Name:
Last Name:PERLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6124 W PARKER RD
Mailing Address - Street 2:SUITE 332
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-981-7812
Mailing Address - Fax:972-981-7836
Practice Address - Street 1:6124 W PARKER RD
Practice Address - Street 2:SUITE 332
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-981-7812
Practice Address - Fax:972-981-7836
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6230207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080422101Medicaid
TX0073DBOtherBCBS
TXB161863Medicare Oscar/Certification
TX0073DBOtherBCBS