Veena Surapaneni Pa | |
11901 W Parmer Ln Ste 110 Cedar Park TX 78613-7651 | |
(512) 260-5206 | |
(512) 260-5211 |
Full Name | Veena Surapaneni Pa |
---|---|
Speciality | Internal Medicine |
Location | 11901 W Parmer Ln, Cedar Park, Texas |
Authorized Official Name and Position | Veena Surapaneni (MD PRESIDENT) |
Authorized Official Contact | 5122605206 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Veena Surapaneni Pa 11901 W Parmer Ln 110 Cedar Park TX 78613-7651 Ph: (512) 260-5206 | Veena Surapaneni Pa 11901 W Parmer Ln Ste 110 Cedar Park TX 78613-7651 Ph: (512) 260-5206 |
NPI Number | 1285717363 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 01/13/2011 |
Medicare PECOS PAC ID | 5991997132 |
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Medicare Enrollment ID | O20101007000098 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285717363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Veena Surapaneni |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235212580 PECOS PAC ID: 6709078942 Enrollment ID: I20101019000125 |
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