| Ameva Medical Pllc | |
|
6601 W University Dr Mckinney TX 75071-4822 | |
| (469) 907-1355 | |
| Not Available |
| Full Name | Ameva Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6601 W University Dr, Mckinney, Texas |
| Authorized Official Name and Position | Kiran Kumar Panuganti (SOLE MEMBER) |
| Authorized Official Contact | 3072863577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ameva Medical Pllc 12963 Allenwood Ave Frisco TX 75035-7887 Ph: () - | Ameva Medical Pllc 6601 W University Dr Mckinney TX 75071-4822 Ph: (469) 907-1355 |
| NPI Number | 1407671845 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 8628503570 |
|---|---|
| Medicare Enrollment ID | O20241202000979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407671845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kiran K Panuganti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477782134 PECOS PAC ID: 4688820525 Enrollment ID: I20160318000468 |
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