| Md And Md | |
|
5718 University Hts Ste 203 San Antonio TX 78249-1131 | |
| (254) 629-2747 | |
| Not Available |
| Full Name | Md And Md |
|---|---|
| Speciality | Family Medicine |
| Location | 5718 University Hts Ste 203, San Antonio, Texas |
| Authorized Official Name and Position | Madhavi Devagiri (SOLE MEMBER) |
| Authorized Official Contact | 2546292747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md And Md 5718 University Hts Ste 203 San Antonio TX 78249-1131 Ph: (254) 629-2747 | Md And Md 5718 University Hts Ste 203 San Antonio TX 78249-1131 Ph: (254) 629-2747 |
| NPI Number | 1992445316 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 7315334729 |
|---|---|
| Medicare Enrollment ID | O20220503000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992445316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert G Bass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477553857 PECOS PAC ID: 2567450398 Enrollment ID: I20040503000239 |
| Provider Name | Ravikanth Reddy R Yalamuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568791010 PECOS PAC ID: 4486802956 Enrollment ID: I20120907000585 |
| Provider Name | Madhavi Devagiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982897930 PECOS PAC ID: 7113112244 Enrollment ID: I20130710000732 |
| Provider Name | Jasper R Mcmeans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417460684 PECOS PAC ID: 8426316464 Enrollment ID: I20171220000487 |
| Provider Name | Charlisse Newbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790247963 PECOS PAC ID: 6103169412 Enrollment ID: I20190529002369 |
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