Smitha Rao Vidi

M.D. | Pediatric Nephrology | Female

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Complete Profile:

Smitha Rao Vidi basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Smitha Rao Vidi
Other Name :	Smitha Rao Chillambhi
Credential :	M.D.
Gender :	Female

Business Address:

Smitha Rao Vidi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	5323 Harry Hines Boulevard Dallas, TX, 75390-7208 United States
Phone Number :	214-456-2857
Fax Number :	214-456-5406

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1023281136
NPI Entity Type :	Individual
First Enrolment Date :	09 Apr, 2008
Last Updated On :	03 Nov, 2015

Medicare Participation:

Smitha Rao Vidi participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4789900218
Medicare Enrollment ID :	I20151008001164
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2002
Accepts Medicare?	Yes. Smitha Rao Vidi accepts medicare insurance.

Group Practice Association:

Smitha Rao Vidi is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Smitha Rao Vidi is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Texas Southwestern Medical Center	0648188250	2495	2222 Welborn St Dallas, TX - 752193924 Ph: 2146450624	Yes
University Of Texas Southwestern Medical Center	0648188250	2495	1935 Medical District Dr Dallas, TX - 752357701	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smitha Rao Vidi are as mentioned. Primary taxonomy code for Smitha Rao Vidi, M.D. is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	L-234741	MA
208000000X	Pediatrics	No	MD444085	PA
2080P0210X	Pediatrics Pediatric Nephrology	No	MT198930	PA
2080P0210X	Pediatrics Pediatric Nephrology	Yes	Q5947	TX

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	P.o. Box 845347 Dallas, TX, 75284-5347 United States
Phone Number :	214-456-2857
Fax Number :	214-456-5406

Business Location:

Patients can refer following map for directions to Smitha Rao Vidi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.