| Sreedhar Polavarapu Md Pa | |
|
2501 Jimmy Johnson Blvd Suite 207 Port Arthur TX 77642 | |
| (409) 722-7500 | |
| (409) 293-4401 |
| Full Name | Sreedhar Polavarapu Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2501 Jimmy Johnson Blvd, Port Arthur, Texas |
| Authorized Official Name and Position | Sreedhar Polavarapu (PRESIDENT) |
| Authorized Official Contact | 4097227500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sreedhar Polavarapu Md Pa 2501 Jimmy Johnson Blvd Suite 207 Port Arthur TX 77642 Ph: (409) 722-7500 | Sreedhar Polavarapu Md Pa 2501 Jimmy Johnson Blvd Suite 207 Port Arthur TX 77642 Ph: (409) 722-7500 |
| NPI Number | 1114009586 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7719940691 |
|---|---|
| Medicare Enrollment ID | O20041111000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114009586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | L9431 (Texas) | Primary |
| Provider Name | Sreedhar Polavarapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427040815 PECOS PAC ID: 4880657766 Enrollment ID: I20041115000062 |
Medplus Mobile Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3636 Professional Dr Ste 2, Port Arthur, TX 77642 Phone: 409-719-6035 | |
First Response Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3620 Highway 365, Suite 400, Port Arthur, TX 77642 Phone: 409-344-4557 Fax: 409-344-4587 | |
Allure Healthcare,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3609 9th Ave, Port Arthur, TX 77642 Phone: 409-237-2322 | |
Robert T. Warhola, D.o., P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5885 W Port Arthur Rd, Port Arthur, TX 77640 Phone: 409-736-2800 Fax: 409-736-0361 | |
Premise Health Of Texas Medical, P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 S Gulfway Dr, Port Arthur, TX 77640 Phone: 409-985-1819 Fax: 409-985-1079 | |
Ipc Of Texas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 |