Mithula Rao Gopalam, | |
4945 Williams Dr, Georgetown, TX 78633-2008 | |
(512) 819-0500 | |
(512) 819-0520 |
Full Name | Mithula Rao Gopalam |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 20 Years |
Location | 4945 Williams Dr, Georgetown, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093931974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | N3685 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Home Health Of Georgetown | Georgetown, TX | Home health agency |
Texas Home Health Group Of Taylor Llc | Taylor, TX | Home health agency |
Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
Baylor Scott & White Medical Center Pflugerville | Pflugerville, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Entity Name | Scott & White Clinic |
---|---|
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 |
---|---|
Mithula Rao Gopalam, Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Mithula Rao Gopalam, 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 | |
Supraja R. Gulla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 317-962-2894 |