| Adi Medical Clinic | |
|
4508 Legacy Dr Ste 400 Plano TX 75024-2188 | |
| (214) 778-2390 | |
| (214) 778-2394 |
| Full Name | Adi Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4508 Legacy Dr, Plano, Texas |
| Authorized Official Name and Position | Harinineeraja Meda (PHYSICIAN) |
| Authorized Official Contact | 2147782390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adi Medical Clinic 4508 Legacy Dr Ste 400 Plano TX 75024-2188 Ph: (214) 778-2390 | Adi Medical Clinic 4508 Legacy Dr Ste 400 Plano TX 75024-2188 Ph: (214) 778-2390 |
| NPI Number | 1619146479 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/18/2010 |
| Medicare PECOS PAC ID | 1456409598 |
|---|---|
| Medicare Enrollment ID | O20090430000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619146479 | NPI | - | NPPES |
| 0065RH | Other | TX | GROUP BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Harinineeraja Meda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215987326 PECOS PAC ID: 7517972409 Enrollment ID: I20060214000465 |
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