Sarada Gummadi Md Pa | |
2717 Michael Angelo Suite 302 Edinburg TX 78539-1408 | |
(956) 467-8382 | |
Not Available |
Full Name | Sarada Gummadi Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 2717 Michael Angelo, Edinburg, Texas |
Authorized Official Name and Position | Sarada Gummadi (OWNER) |
Authorized Official Contact | 9565834866 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sarada Gummadi Md Pa 4404 Santa Fabiola Mission TX 78572-0521 Ph: () - | Sarada Gummadi Md Pa 2717 Michael Angelo Suite 302 Edinburg TX 78539-1408 Ph: (956) 467-8382 |
NPI Number | 1871892174 |
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Provider Enumeration Date | 03/25/2011 |
Last Update Date | 12/30/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871892174 | NPI | - | NPPES |
0062WM | Other | TX | BCBS |
281570601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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