Vikram Vadyala Pllc | |
2002 N Midland Dr Midland TX 79707-5598 | |
(432) 686-9999 | |
Not Available |
Full Name | Vikram Vadyala Pllc |
---|---|
Speciality | Internal Medicine |
Location | 2002 N Midland Dr, Midland, Texas |
Authorized Official Name and Position | Vikram Reddy Vadyala (OWNER/ PHYSICIAN) |
Authorized Official Contact | 4326869999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vikram Vadyala Pllc 2002 N Midland Dr Midland TX 79707-5598 Ph: (432) 686-9999 | Vikram Vadyala Pllc 2002 N Midland Dr Midland TX 79707-5598 Ph: (432) 686-9999 |
NPI Number | 1336530427 |
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Provider Enumeration Date | 02/10/2015 |
Last Update Date | 02/08/2022 |
Medicare PECOS PAC ID | 5395061972 |
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Medicare Enrollment ID | O20150225000997 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336530427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | P2073 (Texas) | Primary |
Provider Name | Vikram R Vadyala |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497985188 PECOS PAC ID: 8921242322 Enrollment ID: I20130925000816 |
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