Provider Demographics
NPI:1760727671
Name:MARAKATHAM, SREEDEVI (MD)
Entity Type:Individual
Prefix:
First Name:SREEDEVI
Middle Name:
Last Name:MARAKATHAM
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 1:4705 TRIBECA LN
Mailing Address - Street 2:APT 2100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-1209
Mailing Address - Country:US
Mailing Address - Phone:469-835-2358
Mailing Address - Fax:
Practice Address - Street 1:7150 GREENVILLE AVE
Practice Address - Street 2:STE 310
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7900
Practice Address - Country:US
Practice Address - Phone:214-363-3200
Practice Address - Fax:214-360-9997
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7665207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine