Atul Poudel, MD | |
4102 24th St Ste 303, Lubbock, TX 79410-1802 | |
(806) 725-8395 | |
(806) 723-7005 |
Full Name | Atul Poudel |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4102 24th St Ste 303, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447674858 | NPI | - | NPPES |
1447674858 | Other | NM | BCBS NM |
27022242 | Medicaid | NM | |
8SL700 | Other | TX | BCBS |
1447674858 | Medicaid | TX | |
2I6403 | Other | TX | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0210X | Pediatrics - Pediatric Nephrology | S7316 (Texas) | Secondary |
208000000X | Pediatrics | S7316 (Texas) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
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Atul Poudel, MD 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844 | Atul Poudel, MD 4102 24th St Ste 303, Lubbock, TX 79410-1802 Ph: (806) 725-8395 |
Weerapong Lilitwat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8813 Fax: 806-775-9182 | |
Claire Cooper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5410 114th St, Lubbock, TX 79424 Phone: 806-853-5233 | |
Sara Al Dogom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2669 | |
Laszlo Nagy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4102 24th St Ste 504, Lubbock, TX 79410 Phone: 806-743-7700 Fax: 806-743-7703 | |
Dr. Jane Elizabeth Wheeler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4617 92nd St, Lubbock, TX 79424 Phone: 806-794-0246 | |
Dr. Douglas Klepper, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7501 Quaker Ave, Lubbock, TX 79424 Phone: 806-793-7257 Fax: 806-799-1568 | |
Dr. Leopoldo Amansec Cabrera, M.D., F.A.A.P. Pediatrics Medicare: Medicare Enrolled Practice Location: 542419th St, Ste 200, Lubbock, TX 79407 Phone: 806-722-4453 Fax: 806-722-4461 |