| Eshwari Medco Pllc | |
|
8505 Kenning Ct Plano TX 75024-7301 | |
| (888) 212-4243 | |
| Not Available |
| Full Name | Eshwari Medco Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8505 Kenning Ct, Plano, Texas |
| Authorized Official Name and Position | Vineeth Joseph (CREDENTIALING) |
| Authorized Official Contact | 8882124243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eshwari Medco Pllc Po Box 71 Shannon AL 35142-0071 Ph: (888) 212-4243 | Eshwari Medco Pllc 8505 Kenning Ct Plano TX 75024-7301 Ph: (888) 212-4243 |
| NPI Number | 1528818267 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 3375981368 |
|---|---|
| Medicare Enrollment ID | O20240410001356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528818267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shailaja Reddy Katta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982086146 PECOS PAC ID: 8628386778 Enrollment ID: I20220829003262 |
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