| Mckinney Internal Medicine, Pllc | |
|
8951 Collin Mckinney Pkwy Ste 301 Mckinney TX 75070 | |
| (214) 556-0847 | |
| (214) 556-0850 |
| Full Name | Mckinney Internal Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8951 Collin Mckinney Pkwy, Mckinney, Texas |
| Authorized Official Name and Position | Vijaya Mummadi (PRESIDENT) |
| Authorized Official Contact | 2148435141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckinney Internal Medicine, Pllc 8951 Collinmckinney Pkwy Ste 301 Mckinney TX 75070 Ph: (214) 556-0847 | Mckinney Internal Medicine, Pllc 8951 Collin Mckinney Pkwy Ste 301 Mckinney TX 75070 Ph: (214) 556-0847 |
| NPI Number | 1366994287 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/16/2019 |
| Medicare PECOS PAC ID | 4981981693 |
|---|---|
| Medicare Enrollment ID | O20170508000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366994287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Vijaya L Mummadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003026410 PECOS PAC ID: 5597950543 Enrollment ID: I20101116000671 |
| Provider Name | Rachel Jaison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679059950 PECOS PAC ID: 2668720434 Enrollment ID: I20180810000552 |
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