| Anjaiah Kodityal, MD | |
|
420 E 6th St, Suite 205, Odessa, TX 79761-4529 | |
| (432) 337-0555 | |
| (432) 337-0558 |
| Full Name | Anjaiah Kodityal |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 55 Years |
| Location | 420 E 6th St, Odessa, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174532386 | NPI | - | NPPES |
| 116990100 | Other | FIRST CARE | |
| 290005045 | Other | RAILROAD MEDICARE | |
| OOJ89Z | Other | TX | BLUE CROSS BLUE SHIELD |
| 5241453 | Other | TX | AETNA |
| 131791905 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H8708 (Texas) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | H8708 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Hospital | Odessa, TX | Hospital |
| Odessa Regional Medical Center | Odessa, TX | Hospital |
| Entity Name | Big Bend Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811973282 PECOS PAC ID: 2163326281 Enrollment ID: O20031120000933 |
| Entity Name | Odessa Regional Hospital Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801852736 PECOS PAC ID: 8628049889 Enrollment ID: O20040803000449 |
| Entity Name | Permian Premier Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664763 PECOS PAC ID: 8426051293 Enrollment ID: O20060816000446 |
| Entity Name | Comprehensive Hospitalist Services Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295062198 PECOS PAC ID: 8022150036 Enrollment ID: O20100128000411 |
| Entity Name | Odessa Sleep Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013155852 PECOS PAC ID: 1153467071 Enrollment ID: O20140102000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Anjaiah Kodityal, MD 420 E 6th St, Suite 205, Odessa, TX 79761-4529 Ph: (432) 337-0555 | Anjaiah Kodityal, MD 420 E 6th St, Suite 205, Odessa, TX 79761-4529 Ph: (432) 337-0555 |
Augusto C Sepulveda, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 8050 E Highway 191, Suite 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-337-0301 | |
Suresh Prasad, MD Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 403 Pittsburg Ave, Odessa, TX 79761 Phone: 432-332-3400 Fax: 432-332-6500 | |
Dr. Armugam Prasad Mekala, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4778 | |
Shashank Satish Nayak, M.D. Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5375 | |
Dr. Timothy Kilian George, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 | |
Sam Eun Kim, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8050 E Highway 191, Ste 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-561-5014 | |
Dr. Pankaj Khandelwal, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 |