Murthy Gedala Pllc | |
111 Dallas St San Antonio TX 78205-1201 | |
(210) 297-7000 | |
Not Available |
Full Name | Murthy Gedala Pllc |
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Speciality | Internal Medicine |
Location | 111 Dallas St, San Antonio, Texas |
Authorized Official Name and Position | Murthy Gedala (PRESIDENT) |
Authorized Official Contact | 2103742929 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Murthy Gedala Pllc Po Box 782467 12951 Huebner Rd San Antonio TX 78278-2467 Ph: (210) 374-2929 | Murthy Gedala Pllc 111 Dallas St San Antonio TX 78205-1201 Ph: (210) 297-7000 |
NPI Number | 1215477823 |
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Provider Enumeration Date | 03/01/2017 |
Last Update Date | 03/01/2017 |
Medicare PECOS PAC ID | 0840576559 |
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Medicare Enrollment ID | O20170427002315 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215477823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M1697 (Texas) | Primary |
208M00000X | Hospitalist | M1697 (Texas) | Secondary |
Provider Name | Murthy V Gedala |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1225134943 PECOS PAC ID: 3779502810 Enrollment ID: I20051117000320 |
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