| Capital Endocrine & Diabetes | |
|
1515 Medical Pkwy Ste 200 Cedar Park TX 78613-7875 | |
| (512) 765-7806 | |
| (512) 456-7039 |
| Full Name | Capital Endocrine & Diabetes |
|---|---|
| Speciality | Internal Medicine |
| Location | 1515 Medical Pkwy Ste 200, Cedar Park, Texas |
| Authorized Official Name and Position | Venkatesh Babu G. Segu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5127657806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Endocrine & Diabetes 1515 Medical Pkwy Ste 200 Cedar Park TX 78613-7875 Ph: (512) 765-7806 | Capital Endocrine & Diabetes 1515 Medical Pkwy Ste 200 Cedar Park TX 78613-7875 Ph: (512) 765-7806 |
| NPI Number | 1104264993 |
|---|---|
| Provider Enumeration Date | 06/13/2013 |
| Last Update Date | 07/02/2020 |
| Medicare PECOS PAC ID | 1951544287 |
|---|---|
| Medicare Enrollment ID | O20130905000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104264993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Venkatesh Babu Gokulan Segu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073551115 PECOS PAC ID: 4486621182 Enrollment ID: I20110801000312 |
| Provider Name | Adrienne Melissa Chagoly |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1366597304 PECOS PAC ID: 5395023147 Enrollment ID: I20161028001131 |
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