Permian Gastroenterology Associates Llp | |
315 E 5th St Odessa TX 79761-5133 | |
(432) 333-3433 | |
(432) 333-3450 |
Full Name | Permian Gastroenterology Associates Llp |
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Speciality | Internal Medicine |
Location | 315 E 5th St, Odessa, Texas |
Authorized Official Name and Position | Ravikumar Prasad Vemuru (OWNER) |
Authorized Official Contact | 4323333433 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Permian Gastroenterology Associates Llp 315 E 5th St Odessa TX 79761-5133 Ph: (432) 333-3433 | Permian Gastroenterology Associates Llp 315 E 5th St Odessa TX 79761-5133 Ph: (432) 333-3433 |
NPI Number | 1295946259 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 09/21/2011 |
Medicare PECOS PAC ID | 5597711002 |
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Medicare Enrollment ID | O20050329000024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295946259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (Texas) | Primary |
Provider Name | Syam S Vemulapalli |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740397397 PECOS PAC ID: 9931192226 Enrollment ID: I20070815000282 |
Provider Name | Pratyusha Parava |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144523549 PECOS PAC ID: 5496057929 Enrollment ID: I20180301000668 |
John H. Doran,m.d., P.l.lc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Dotsy Ave, Odessa, TX 79763 Phone: 432-333-3295 Fax: 432-333-8840 | |
Permian Women's Center, P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 N Tom Green Ave, Odessa, TX 79761 Phone: 432-580-9876 | |
Sing Dy Uy,md Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2461-a East 11th St, Odessa, TX 79761 Phone: 432-334-8845 Fax: 432-334-8875 | |
Scotty Ortega Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4415 Hinkle St, Odessa, TX 79762 Phone: 432-940-3240 | |
Ahmed Hassan, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 325-763-8473 | |