| Dr Ismail S Penukonda, MD | |
|
3213 Brighton Cv, Grapevine, TX 76051-1101 | |
| (737) 786-5700 | |
| (817) 818-1805 |
| Full Name | Dr Ismail S Penukonda |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3213 Brighton Cv, Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710144993 | NPI | - | NPPES |
| 06298 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.204783 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ismail S Penukonda, MD 3213 Brighton Cv, Grapevine, TX 76051-1101 Ph: (737) 786-5700 | Dr Ismail S Penukonda, MD 3213 Brighton Cv, Grapevine, TX 76051-1101 Ph: (737) 786-5700 |
Dr. Adrienne L Prentiss, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 W College St, Ste 510, Grapevine, TX 76051 Phone: 817-251-1225 Fax: 817-251-1228 | |
Lee W Haak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 William D Tate Ave, Grapevine, TX 76051 Phone: 817-251-2101 Fax: 817-421-5041 | |
Orson P Rodriguez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2355 E Grapevine Mills Cir, Grapevine, TX 76051 Phone: 972-539-6330 Fax: 972-539-3077 | |
Dr. Saba Shabnam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Lancaster Dr Ste 160, Grapevine, TX 76051 Phone: 817-510-9645 Fax: 817-685-6047 | |
Chad A Hogan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1280 S Main St Ste 100, Grapevine, TX 76051 Phone: 817-310-0898 Fax: 817-310-5524 | |
Eric R Futscher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St Ste 100, Grapevine, TX 76051 Phone: 817-912-0442 Fax: 817-329-5668 | |
Carleo A Capili, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 W Northwest Hwy, Grapevine, TX 76051 Phone: 817-481-5365 Fax: 827-424-3264 |