| Sridevi Pavuluri Md Pa | |
|
3828 Hughes Ct Suite 201 Dickinson TX 77539-6244 | |
| (281) 534-9050 | |
| (281) 534-9030 |
| Full Name | Sridevi Pavuluri Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3828 Hughes Ct, Dickinson, Texas |
| Authorized Official Name and Position | Sridevi Pavuluri (PRESIDENT) |
| Authorized Official Contact | 2815349050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sridevi Pavuluri Md Pa Po Box 529 League City TX 77574-0529 Ph: (281) 534-9050 | Sridevi Pavuluri Md Pa 3828 Hughes Ct Suite 201 Dickinson TX 77539-6244 Ph: (281) 534-9050 |
| NPI Number | 1649501818 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 04/10/2013 |
| Medicare PECOS PAC ID | 8921136995 |
|---|---|
| Medicare Enrollment ID | O20100512000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649501818 | NPI | - | NPPES |
| 0015TD | Other | TX | BSBSTX |
| 212493501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sridevi Pavuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275578445 PECOS PAC ID: 5597782789 Enrollment ID: I20051027000336 |
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