|
| |
|
5040 Tennyson Pkwy Plano TX 75024-3002 | |
| (469) 476-7810 | |
| (469) 574-7840 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 5040 Tennyson Pkwy, Plano, Texas |
| Authorized Official Name and Position | Venkatesh Madhav (MANAGER) |
| Authorized Official Contact | 4694767810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5040 Tennyson Pkwy Plano TX 75024-3002 Ph: (469) 476-7810 | 5040 Tennyson Pkwy Plano TX 75024-3002 Ph: (469) 476-7810 |
| NPI Number | 1952875064 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 9830439769 |
|---|---|
| Medicare Enrollment ID | O20190312003346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952875064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Venkatesh V Madhav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144274341 PECOS PAC ID: 4981687050 Enrollment ID: I20040609001521 |
| Provider Name | Ravikumar Hanumanthaiah Edalur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023221413 PECOS PAC ID: 5193809465 Enrollment ID: I20080225000770 |
Segal Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6537 Preston Rd, Plano, TX 75024 Phone: 972-379-2096 Fax: 972-379-2054 | |
Michelle Sun Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3900 W 15th St, Suite 404, Plano, TX 75075 Phone: 972-758-9327 Fax: 972-867-4970 | |
William R Sheldon, Jr., Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5930 W Parker Rd, #700, Plano, TX 75093 Phone: 972-943-7626 Fax: 972-608-5223 | |
Michael C Martin Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6020 W Parker Rd Ste 420, Plano, TX 75093 Phone: 972-244-1300 | |
Nortex Integrated Medicine Pllc - Dallas Series Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Preston Rd Ste 1500, Plano, TX 75024 Phone: 972-872-8408 Fax: 972-850-7352 | |
Bnaz Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 Crown Forest Dr, Plano, TX 75024 Phone: 516-425-5822 |