| Bacharanianda Llc | |
|
3220 Abby Ln Paris TX 75462-3310 | |
| (214) 532-7119 | |
| Not Available |
| Full Name | Bacharanianda Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3220 Abby Ln, Paris, Texas |
| Authorized Official Name and Position | Deepak Bacharanianda Muthappa (OWNER) |
| Authorized Official Contact | 2145327119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bacharanianda Llc 3220 Abby Ln Paris TX 75462-3310 Ph: (214) 532-7119 | Bacharanianda Llc 3220 Abby Ln Paris TX 75462-3310 Ph: (214) 532-7119 |
| NPI Number | 1942935663 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 2567825953 |
|---|---|
| Medicare Enrollment ID | O20230901000910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942935663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2086H0002X | Surgery - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| Provider Name | Bacharanianda Muthappa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396835427 PECOS PAC ID: 3577740117 Enrollment ID: I20110607000594 |
| Provider Name | Deepak Bacharanianda Muthappa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831532241 PECOS PAC ID: 5294020251 Enrollment ID: I20160830001053 |
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