Search › Texas › 208G00000X
Mini Sivadasan, M.D
NPI 1336330570 · on the registry since 2007
Practice
- Address
- 3430 Wheatland Rd Building 1 Suite 202
Dallas, TX 75237 - Phone
- (972) 780-5888
- Fax
- (972) 780-5886
Additional practice sites
- 1005 Broadway St, Quincy, IL
Registry record
- Primary taxonomy
- 208G00000X
208G00000X
- Also registered as
- 208G00000X
208G00000X
208G00000X
390200000X - Licence states on file
- IN, WI, IL, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas