Alliance Endocrinology Pc | |
2020 W State Highway 114 Ste 220 Grapevine TX 76051-8648 | |
(610) 730-7476 | |
Not Available |
Full Name | Alliance Endocrinology Pc |
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Speciality | Internal Medicine |
Location | 2020 W State Highway 114 Ste 220, Grapevine, Texas |
Authorized Official Name and Position | Sesha Spandana Uppalapati (SOLE MEMBER) |
Authorized Official Contact | 6107307476 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alliance Endocrinology Pc 2020 W State Highway 114 Ste 220 Grapevine TX 76051-8648 Ph: () - | Alliance Endocrinology Pc 2020 W State Highway 114 Ste 220 Grapevine TX 76051-8648 Ph: (610) 730-7476 |
NPI Number | 1760026959 |
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Provider Enumeration Date | 10/31/2019 |
Last Update Date | 10/31/2019 |
Medicare PECOS PAC ID | 3678908100 |
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Medicare Enrollment ID | O20200110000927 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760026959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Sesha S Uppalapati |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1154509230 PECOS PAC ID: 7012092968 Enrollment ID: I20110921000802 |
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