| Infectious Disease Associates Of North Texas, P.a. | |
|
4461 Coit Rd Ste 409 Frisco TX 75035-0526 | |
| (214) 396-8877 | |
| (214) 983-0983 |
| Full Name | Infectious Disease Associates Of North Texas, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4461 Coit Rd Ste 409, Frisco, Texas |
| Authorized Official Name and Position | Chaitanya Venkata Tummala (PROVIDER) |
| Authorized Official Contact | 2143968877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates Of North Texas, P.a. 4461 Coit Rd Ste 409 Frisco TX 75035-0526 Ph: (214) 396-8877 | Infectious Disease Associates Of North Texas, P.a. 4461 Coit Rd Ste 409 Frisco TX 75035-0526 Ph: (214) 396-8877 |
| NPI Number | 1073056297 |
|---|---|
| Provider Enumeration Date | 11/19/2016 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 0547529042 |
|---|---|
| Medicare Enrollment ID | O20180108002492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073056297 | NPI | - | NPPES |
| 3968018 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Chaitanya V Tummala |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518929959 PECOS PAC ID: 7315921541 Enrollment ID: I20040615001850 |
| Provider Name | Arpita Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144512369 PECOS PAC ID: 2466679709 Enrollment ID: I20151211002073 |
| Provider Name | Sanober G Kassimali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737564 PECOS PAC ID: 8628385523 Enrollment ID: I20181024001418 |
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