Manshi Valluri Mallepogu, MD | |
101 Medical Pkwy Ste 210, Lakeway, TX 78738-5647 | |
(512) 814-1984 | |
(855) 270-9668 |
Full Name | Manshi Valluri Mallepogu |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 101 Medical Pkwy Ste 210, Lakeway, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538540620 | NPI | - | NPPES |
LL2811 | Other | NV | NEVADA BOARD OFMEDICAL EXAMINERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | S7815 (Texas) | Primary |
Entity Name | Graybill Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891729745 PECOS PAC ID: 9335050517 Enrollment ID: O20040108000857 |
Mailing Address | Practice Location Address |
---|---|
Manshi Valluri Mallepogu, MD 5625 Eiger Rd Ste 200, Austin, TX 78735-8982 Ph: (512) 892-7076 | Manshi Valluri Mallepogu, MD 101 Medical Pkwy Ste 210, Lakeway, TX 78738-5647 Ph: (512) 814-1984 |
Dr. Seema Sidwani-chawla, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Pkwy Ste 110, Lakeway, TX 78738 Phone: 512-654-0150 Fax: 512-654-0155 | |
Adrienne Gonzales, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-509-0200 | |
Dr. Nandu Gourineni, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Pkwy Ste 110, Lakeway, TX 78738 Phone: 542-724-2111 Fax: 812-378-8267 | |
Dr. Craig Tindall Kopecky, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Medical Pkwy Ste 220, Lakeway, TX 78738 Phone: 512-814-1984 Fax: 855-270-9668 | |
Dr. Karen Alexandra Acosta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 Fax: 512-571-5198 | |
Shobha Dharam Reddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3108 Ranch Road 620 S, Lakeway, TX 78738 Phone: 512-654-4200 Fax: 512-654-4201 | |
Praveen Koneru, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 |