| Ortus Md Pa | |
|
3311 Yucca Dr Flower Mound TX 75028-2743 | |
| (972) 982-7867 | |
| Not Available |
| Full Name | Ortus Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3311 Yucca Dr, Flower Mound, Texas |
| Authorized Official Name and Position | Ranjitha Rishikesh (DIRECTOR) |
| Authorized Official Contact | 9729827867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ortus Md Pa Po Box 271827 Flower Mound TX 75027-1827 Ph: (972) 982-7867 | Ortus Md Pa 3311 Yucca Dr Flower Mound TX 75028-2743 Ph: (972) 982-7867 |
| NPI Number | 1013586957 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 10/29/2021 |
| Medicare PECOS PAC ID | 1850798018 |
|---|---|
| Medicare Enrollment ID | O20210930001966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013586957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ranjitha Rishikesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396985180 PECOS PAC ID: 7911168257 Enrollment ID: I20120413000518 |
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