| Sai Medical Group,p.a | |
|
201 Childers Dr Suite# 109 Bastrop TX 78602-4100 | |
| (512) 321-3430 | |
| (512) 303-5437 |
| Full Name | Sai Medical Group,p.a |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Childers Dr, Bastrop, Texas |
| Authorized Official Name and Position | Yamini A Akkanti (DIRECTOR) |
| Authorized Official Contact | 5123213430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sai Medical Group,p.a 201 Childers Dr Suite# 109 Bastrop TX 78602-4100 Ph: (512) 321-3430 | Sai Medical Group,p.a 201 Childers Dr Suite# 109 Bastrop TX 78602-4100 Ph: (512) 321-3430 |
| NPI Number | 1023313236 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 01/19/2011 |
| Medicare PECOS PAC ID | 2961671227 |
|---|---|
| Medicare Enrollment ID | O20110803000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023313236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N7049 (Texas) | Primary |
| Provider Name | Yamini A Akkanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760659973 PECOS PAC ID: 8628262912 Enrollment ID: I20101101000324 |
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