Anirudh Tadakamalla, | |
1631 11th Street, Unit B, Wichita Falls, TX 76301-4332 | |
(940) 263-3000 | |
(940) 263-3018 |
Full Name | Anirudh Tadakamalla |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1631 11th Street, Wichita Falls, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134740970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | U2647 (Texas) | Secondary |
207R00000X | Internal Medicine | R78093 (Arizona) | Secondary |
207R00000X | Internal Medicine | U2647 (Texas) | Primary |
Entity Name | La Magna Health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699285346 PECOS PAC ID: 0749540045 Enrollment ID: O20180206001403 |
Mailing Address | Practice Location Address |
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Anirudh Tadakamalla, 1631 11th Street, Unit B, Wichita Falls, TX 76301-4332 Ph: (940) 263-3000 | Anirudh Tadakamalla, 1631 11th Street, Unit B, Wichita Falls, TX 76301-4332 Ph: (940) 263-3000 |
Madhavi R Rajulapalli, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Mlk Jr Blvd, Wichita Falls, TX 76301 Phone: 940-766-6306 Fax: 940-766-6504 | |
Claudia Goodsett, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1517 10th St, Wichita Falls, TX 76301 Phone: 940-322-1411 | |
Dr. Myrna Catalan De Asis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1819 Tenth St, Wichita Falls, TX 76301 Phone: 940-763-8077 Fax: 940-763-8078 | |
Fardin Djafari, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1631 11th St, Wichita Falls, TX 76301 Phone: 940-687-4700 Fax: 940-687-5000 | |
Maryam Mahmood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1631 11th St, Wichita Falls, TX 76301 Phone: 940-764-3979 | |
Priyadarshini S Ranbhise, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 11th St, In Compass Health, Wichita Falls, TX 76301 Phone: 248-275-8243 | |
Dr. Raja Rajeswari Divi, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 11th St, Cogent Healthcare Of Texas, Pa, Wichita Falls, TX 76301 Phone: 940-764-3983 |