| Summit Primary Care And Internal Medicine Pllc | |
|
118 Lynn Ave Ste 502 Lewisville TX 75057-3709 | |
| (469) 909-1931 | |
| Not Available |
| Full Name | Summit Primary Care And Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 118 Lynn Ave Ste 502, Lewisville, Texas |
| Authorized Official Name and Position | Arunpriya Vadivelu (MANAGER) |
| Authorized Official Contact | 7325893271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Primary Care And Internal Medicine Pllc 118 Lynn Ave Ste 502 Lewisville TX 75057-3709 Ph: (732) 589-3271 | Summit Primary Care And Internal Medicine Pllc 118 Lynn Ave Ste 502 Lewisville TX 75057-3709 Ph: (469) 909-1931 |
| NPI Number | 1215411269 |
|---|---|
| Provider Enumeration Date | 09/15/2018 |
| Last Update Date | 03/08/2019 |
| Medicare PECOS PAC ID | 0749524015 |
|---|---|
| Medicare Enrollment ID | O20181128001245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215411269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Arunpriya Vadivelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285695510 PECOS PAC ID: 4486689221 Enrollment ID: I20181206000463 |
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