| Balakrishna Reddy Mangapuram Inc | |
|
9004 Forest Xing Suite E The Woodlands TX 77381-1197 | |
| (281) 364-6677 | |
| (281) 292-6379 |
| Full Name | Balakrishna Reddy Mangapuram Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9004 Forest Xing, The Woodlands, Texas |
| Authorized Official Name and Position | Jessica Taboada (OFFICE MANAGER) |
| Authorized Official Contact | 2813646677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balakrishna Reddy Mangapuram Inc 9004 Forest Xing Suite E The Woodlands TX 77381-1197 Ph: (281) 364-6677 | Balakrishna Reddy Mangapuram Inc 9004 Forest Xing Suite E The Woodlands TX 77381-1197 Ph: (281) 364-6677 |
| NPI Number | 1376848218 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 01/25/2011 |
| Medicare PECOS PAC ID | 2264619014 |
|---|---|
| Medicare Enrollment ID | O20110606000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376848218 | NPI | - | NPPES |
| 035975401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J9189 (Texas) | Primary |
| Provider Name | Balakrishna Mangapuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184632309 PECOS PAC ID: 3072553395 Enrollment ID: I20110221000347 |
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