| Kranthi Nandan Seelaboyina, MD | |
|
316 Secor St, Midland, TX 79701-6343 | |
| (432) 620-1111 | |
| (432) 620-1112 |
| Full Name | Kranthi Nandan Seelaboyina |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 316 Secor St, Midland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154787307 | NPI | - | NPPES |
| 422419801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD2022-0323 (New Mexico) | Secondary |
| 208000000X | Pediatrics | 300619 (New York) | Secondary |
| 208000000X | Pediatrics | S9407 (Texas) | Primary |
| Entity Name | Texas Tech University Health Sciences Center Odessa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407845084 PECOS PAC ID: 8426044256 Enrollment ID: O20040607001561 |
| Mailing Address | Practice Location Address |
|---|---|
| Kranthi Nandan Seelaboyina, MD 701 W 5th St Ste 3142, Odessa, TX 79763-4206 Ph: (432) 703-5310 | Kranthi Nandan Seelaboyina, MD 316 Secor St, Midland, TX 79701-6343 Ph: (432) 620-1111 |
Mohammed Hussein Nasser Aljarwi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4214 Andrews Hwy Ste 102, Midland, TX 79703 Phone: 432-256-4390 Fax: 432-256-4391 | |
Dr. Wellington F Ballesteros, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Delano Ave, Midland, TX 79701 Phone: 432-697-4747 Fax: 432-699-3813 | |
Nidhi Girishchandra Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4214 Andrews Hwy Ste 310, Midland, TX 79703 Phone: 432-697-4747 Fax: 432-699-3813 | |
Chandan Mazumder, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 W Wall St Ste C, Midland, TX 79701 Phone: 432-221-2500 Fax: 432-687-1914 | |
Jennifer Blackerby, Pediatrics Medicare: Medicare Enrolled Practice Location: 5000 Briarwood Ave, Midland, TX 79707 Phone: 432-682-5385 | |
Megan Breanne Rossman, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 302 Secor St, Midland, TX 79701 Phone: 432-685-5029 |