| Dr Sowmya Boddhula, MD | |
|
705 E Marshall Ave Ste 1002, Longview, TX 75601-5660 | |
| (903) 315-4422 | |
| Not Available |
| Full Name | Dr Sowmya Boddhula |
|---|---|
| Gender | Female |
| Speciality | Endocrinology |
| Experience | 17 Years |
| Location | 705 E Marshall Ave Ste 1002, Longview, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134569825 | NPI | - | NPPES |
| 1R9519 | Other | TX | MEDICARE |
| 428571001 | Medicaid | TX | |
| 8QD098 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 288270 (New York) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | T1906 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | The University Of Texas At Austin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073066239 PECOS PAC ID: 2668559436 Enrollment ID: O20080408000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sowmya Boddhula, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400 | Dr Sowmya Boddhula, MD 705 E Marshall Ave Ste 1002, Longview, TX 75601-5660 Ph: (903) 315-4422 |
Zehra Hussain, DO Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Stanislav Weiner, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 5008, Longview, TX 75601 Phone: 903-315-4880 | |
John Odneal, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-5171 Fax: 903-315-1888 | |
Kayvan Kamali, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 920 Judson Rd, Longview, TX 75601 Phone: 903-236-7020 Fax: 903-236-7093 | |
Yashashree A Vegi, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Allessia Wilson, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 709 Hollybrook Dr Ste 4500, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-291-6115 | |
Dr. Michael Francis Broderick, DO Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2901 4th St, Longview, TX 75605 Phone: 903-758-1818 |