Sirisha Chirumamilla, MD | |
763 E. Highway 80, Suite 240, Forney, TX 75126 | |
(708) 228-8570 | |
Not Available |
Full Name | Sirisha Chirumamilla |
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Gender | Female |
Speciality | Family Medicine |
Location | 763 E. Highway 80, Forney, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164985826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | T9080 (Texas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Healthtexas Provider Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
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Sirisha Chirumamilla, MD 763 E. Highway 80, Suite 240, Forney, TX 75126 Ph: (469) 800-3870 | Sirisha Chirumamilla, MD 763 E. Highway 80, Suite 240, Forney, TX 75126 Ph: (708) 228-8570 |
Miss Khadijah Hafsa Bah, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6107 Gritten Dr, Forney, TX 75126 Phone: 301-281-7052 | |
Ms. Jessey Mathew, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 763 E Us Highway 80 Ste 240, Forney, TX 75126 Phone: 469-800-3870 Fax: 469-800-3880 | |
Dr. Wesley Garrett Wilson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 E Broad St, Forney, TX 75126 Phone: 469-720-4490 Fax: 833-450-4889 | |
Dr. Shilpi Mittal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Fm 548 Ste 100, Forney, TX 75126 Phone: 972-564-0044 Fax: 972-564-0054 | |
Jim George, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 763 E Us Highway 80, Suite 240, Forney, TX 75126 Phone: 469-689-0100 | |
Jency Vathikulam, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 763 E Us Highway 80 Ste 240, Forney, TX 75126 Phone: 469-800-3870 |