| Medical Associates Of North Texas | |
|
1023 Lipscomb St Ste 200 Fort Worth TX 76104-3102 | |
| (972) 544-6600 | |
| (972) 544-6604 |
| Full Name | Medical Associates Of North Texas |
|---|---|
| Speciality | Internal Medicine |
| Location | 1023 Lipscomb St Ste 200, Fort Worth, Texas |
| Authorized Official Name and Position | Ravi Subrahmanya Siripurapu (CHAIRMAN) |
| Authorized Official Contact | 9725446600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of North Texas Po Box 271600 Flower Mound TX 75027-1600 Ph: (972) 544-6600 | Medical Associates Of North Texas 1023 Lipscomb St Ste 200 Fort Worth TX 76104-3102 Ph: (972) 544-6600 |
| NPI Number | 1023495702 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 10/06/2023 |
| Medicare PECOS PAC ID | 5698086924 |
|---|---|
| Medicare Enrollment ID | O20150612001373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023495702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Barbara Monique Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609805225 PECOS PAC ID: 2466422894 Enrollment ID: I20040730001044 |
| Provider Name | Christopher N Rheams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649258989 PECOS PAC ID: 7911958483 Enrollment ID: I20050202000695 |
| Provider Name | Shabaz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366430076 PECOS PAC ID: 7113962010 Enrollment ID: I20061024000349 |
| Provider Name | Venkatasubbaraya Chowdary Achanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693648 PECOS PAC ID: 2163423047 Enrollment ID: I20070119000054 |
| Provider Name | Chandramohan G Mudaliar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699749077 PECOS PAC ID: 2365578606 Enrollment ID: I20100326000001 |
| Provider Name | Rachel D James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992036719 PECOS PAC ID: 5395871073 Enrollment ID: I20100405000500 |
| Provider Name | Suresh B Kankanala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922211697 PECOS PAC ID: 0042364234 Enrollment ID: I20100513000161 |
| Provider Name | Ifeoma A Kalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417150509 PECOS PAC ID: 8527254861 Enrollment ID: I20101129000169 |
| Provider Name | Ravi S Siripurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467570895 PECOS PAC ID: 6103902085 Enrollment ID: I20110308000426 |
| Provider Name | Srinivas Pati Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811018294 PECOS PAC ID: 1153341128 Enrollment ID: I20130507000665 |
| Provider Name | Ayuk Makia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518198407 PECOS PAC ID: 4587700968 Enrollment ID: I20140505000503 |
| Provider Name | Madeline Mccluer Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104220029 PECOS PAC ID: 2769708346 Enrollment ID: I20150225000958 |
| Provider Name | Venkata Madhuri Koyya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205027232 PECOS PAC ID: 0042336901 Enrollment ID: I20160208001868 |
| Provider Name | Deepthi Parvataneni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730473935 PECOS PAC ID: 1557643855 Enrollment ID: I20170121000281 |
| Provider Name | Bishwas Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720394992 PECOS PAC ID: 1850528720 Enrollment ID: I20191024003439 |
| Provider Name | Komali Kanagala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083169460 PECOS PAC ID: 6204246440 Enrollment ID: I20201029001559 |
| Provider Name | Johanna Hernaiz Baez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881914349 PECOS PAC ID: 4284864992 Enrollment ID: I20210521002053 |
| Provider Name | Sean T Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558868760 PECOS PAC ID: 6002212032 Enrollment ID: I20210831000817 |
| Provider Name | Eylul D Hovland |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982376703 PECOS PAC ID: 7517356561 Enrollment ID: I20211111002451 |
| Provider Name | Taylor G Meyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609505585 PECOS PAC ID: 6204219215 Enrollment ID: I20220823003411 |
| Provider Name | Rahul Paryani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699126763 PECOS PAC ID: 4486993011 Enrollment ID: I20220829003640 |
| Provider Name | Manpreet K Rattan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831722412 PECOS PAC ID: 3870967839 Enrollment ID: I20230315000927 |
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Symetria Health Of Texas, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7229 Hawkins View Dr, Fort Worth, TX 76132 Phone: 682-350-4444 | |
Associates Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 College Ave, Fort Worth, TX 76110 Phone: 682-268-1152 Fax: 877-772-0063 | |
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