| Koteshwara Nadipalli Pllc | |
|
3800 Main St Ste 100 The Colony TX 75056-2838 | |
| (972) 666-4422 | |
| Not Available |
| Full Name | Koteshwara Nadipalli Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 Main St Ste 100, The Colony, Texas |
| Authorized Official Name and Position | Koteshwara Rao Nadipalli (PHYSICIAN) |
| Authorized Official Contact | 4699556333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Koteshwara Nadipalli Pllc 3800 Main St Ste 100 The Colony TX 75056-2838 Ph: (972) 666-4422 | Koteshwara Nadipalli Pllc 3800 Main St Ste 100 The Colony TX 75056-2838 Ph: (972) 666-4422 |
| NPI Number | 1386045391 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 08/01/2023 |
| Medicare PECOS PAC ID | 5698090058 |
|---|---|
| Medicare Enrollment ID | O20150206001734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386045391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Koteshwara R Nadipalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164600235 PECOS PAC ID: 0749348357 Enrollment ID: I20130628000100 |
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