Daffodil Primary Care And Cardio-renal Clinic | |
4300 Punjab Way Ste 160 Frisco TX 75033-0382 | |
(469) 649-9968 | |
(469) 649-9969 |
Full Name | Daffodil Primary Care And Cardio-renal Clinic |
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Speciality | Internal Medicine |
Location | 4300 Punjab Way Ste 160, Frisco, Texas |
Authorized Official Name and Position | Harish Nuthakki (OWNER) |
Authorized Official Contact | 8105137501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daffodil Primary Care And Cardio-renal Clinic Po Box 140306 Irving TX 75014-0306 Ph: (469) 649-9968 | Daffodil Primary Care And Cardio-renal Clinic 4300 Punjab Way Ste 160 Frisco TX 75033-0382 Ph: (469) 649-9968 |
NPI Number | 1437912433 |
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Provider Enumeration Date | 02/01/2024 |
Last Update Date | 03/22/2024 |
Medicare PECOS PAC ID | 2163860750 |
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Medicare Enrollment ID | O20240402000934 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437912433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
Provider Name | Jaya Bathina |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1407086705 PECOS PAC ID: 5799908463 Enrollment ID: I20220510001468 |
Provider Name | Harishchandra S Nuthakki |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467684951 PECOS PAC ID: 3072764752 Enrollment ID: I20230426001810 |
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