Provider Demographics
NPI:1427615061
Name:VERITAS MEDICAL PROFESSIONALS
Entity type:Organization
Organization Name:VERITAS MEDICAL PROFESSIONALS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GORAV
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHIL
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:972-754-4596
Mailing Address - Street 1:3613 HAYNIE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1203
Mailing Address - Country:US
Mailing Address - Phone:972-754-4596
Mailing Address - Fax:
Practice Address - Street 1:15240 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-4610
Practice Address - Country:US
Practice Address - Phone:469-577-9720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization