Sreeman Jampana, Md, Pllc | |
1603 Judson Rd Longview TX 75601-3649 | |
(903) 758-4491 | |
(903) 758-0993 |
Full Name | Sreeman Jampana, Md, Pllc |
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Speciality | Internal Medicine |
Location | 1603 Judson Rd, Longview, Texas |
Authorized Official Name and Position | Sreeman Jampana (PHYSICAN/OWNER) |
Authorized Official Contact | 9037584491 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sreeman Jampana, Md, Pllc 1603 Judson Rd Longview TX 75601-3649 Ph: (903) 758-4491 | Sreeman Jampana, Md, Pllc 1603 Judson Rd Longview TX 75601-3649 Ph: (903) 758-4491 |
NPI Number | 1851854178 |
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Provider Enumeration Date | 04/12/2019 |
Last Update Date | 04/12/2019 |
Medicare PECOS PAC ID | 4981938065 |
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Medicare Enrollment ID | O20190624001351 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851854178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sreemannaryana Jampana |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790776466 PECOS PAC ID: 8325144082 Enrollment ID: I20100114000417 |
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