| Leander Family Medicine Pllc | |
|
3550 Lakeline Blvd Leander TX 78641-3504 | |
| (678) 481-0625 | |
| Not Available |
| Full Name | Leander Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3550 Lakeline Blvd, Leander, Texas |
| Authorized Official Name and Position | Subha Chikkala (MD/OWNER) |
| Authorized Official Contact | 6784810625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leander Family Medicine Pllc 3550 Lakeline Blvd Leander TX 78641-3504 Ph: (678) 481-0625 | Leander Family Medicine Pllc 3550 Lakeline Blvd Leander TX 78641-3504 Ph: (678) 481-0625 |
| NPI Number | 1851787196 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 04/14/2015 |
| Medicare PECOS PAC ID | 8325369762 |
|---|---|
| Medicare Enrollment ID | O20150610001310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851787196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Subha Chikkala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245505254 PECOS PAC ID: 3971743022 Enrollment ID: I20130712000483 |
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