Chakrapani Pathikonda, | |
4945 Williams Dr, Georgetown, TX 78633-2008 | |
(512) 819-0500 | |
Not Available |
Full Name | Chakrapani Pathikonda |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 4945 Williams Dr, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336725159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | U9630 (Texas) | Primary |
Entity Name | Scott & White Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Chakrapani Pathikonda, Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Chakrapani Pathikonda, 4945 Williams Dr, Georgetown, TX 78633-2008 Ph: (512) 819-0500 |
Dr. Jennifer Lynn Clark, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78628 Phone: 512-819-0500 | |
Abhijeet V Koli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434 | |
Anita D'mello, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 | |
Robert F Denyer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr, Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434 | |
Lori L Palazzo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 10 Spring St, Suite 102, Georgetown, TX 78626 Phone: 512-863-3343 Fax: 512-869-4978 | |
Mithula Rao Gopalam, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 Fax: 512-819-0520 | |
Supraja R. Gulla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 317-962-2894 |