| Vkn Health Services Pllc | |
|
1619 Box Canyon Ct Grapevine TX 76051-4719 | |
| (614) 873-5184 | |
| Not Available |
| Full Name | Vkn Health Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1619 Box Canyon Ct, Grapevine, Texas |
| Authorized Official Name and Position | Grageyi Bandaru (OWNER) |
| Authorized Official Contact | 6148735184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vkn Health Services Pllc 1619 Box Canyon Ct Grapevine TX 76051-4719 Ph: (614) 873-5184 | Vkn Health Services Pllc 1619 Box Canyon Ct Grapevine TX 76051-4719 Ph: (614) 873-5184 |
| NPI Number | 1972969640 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 01/11/2016 |
| Medicare PECOS PAC ID | 2466759824 |
|---|---|
| Medicare Enrollment ID | O20160330000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972969640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | Q2734 (Texas) | Primary |
| Provider Name | Gargeyi Bandaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528040193 PECOS PAC ID: 0345276101 Enrollment ID: I20150625000114 |
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