| Benarji Tegala Md Pa | |
|
1211 E 6th St Ste 100 Bonham TX 75418-4094 | |
| (903) 640-4700 | |
| (903) 640-1975 |
| Full Name | Benarji Tegala Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 E 6th St Ste 100, Bonham, Texas |
| Authorized Official Name and Position | Benarji Tegala (OWNER/PRESIDENT) |
| Authorized Official Contact | 9036404700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benarji Tegala Md Pa 1211 E 6th St Ste 100 Bonham TX 75418-4094 Ph: (903) 640-4700 | Benarji Tegala Md Pa 1211 E 6th St Ste 100 Bonham TX 75418-4094 Ph: (903) 640-4700 |
| NPI Number | 1780083337 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 08/20/2014 |
| Medicare PECOS PAC ID | 1557583119 |
|---|---|
| Medicare Enrollment ID | O20141114000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780083337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P9264 (Texas) | Primary |
| Provider Name | Benarji Tegala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518925841 PECOS PAC ID: 8123086287 Enrollment ID: I20140925000463 |
Vijayalakshmi Nandimandalam, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 E 6th St, Suite 100, Bonham, TX 75418 Phone: 903-640-4700 Fax: 903-640-1975 | |
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