| Padmajarani Gottipolu, MD | |
|
8080 Independence Pkwy Ste 200, Plano, TX 75025-4002 | |
| (972) 596-9511 | |
| (972) 867-8163 |
| Full Name | Padmajarani Gottipolu |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 8080 Independence Pkwy Ste 200, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295792299 | NPI | - | NPPES |
| 291806201 | Medicaid | TX | |
| 291806202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46731 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | N6878 (Texas) | Primary |
| Entity Name | North Texas Village Health Partners Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396881884 PECOS PAC ID: 0244328987 Enrollment ID: O20071114000264 |
| Mailing Address | Practice Location Address |
|---|---|
| Padmajarani Gottipolu, MD 5425 W Spring Creek Pkwy, Ste 200, Plano, TX 75024-4237 Ph: (972) 599-9600 | Padmajarani Gottipolu, MD 8080 Independence Pkwy Ste 200, Plano, TX 75025-4002 Ph: (972) 596-9511 |
Elaine C. Timm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Matthew Garrett Weyenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Dr. Lorenzo Fredi Perez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3821 W Spring Creek Pkwy, Plano, TX 75023 Phone: 972-599-0077 | |
Dr. Mahdi M Awwad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 W Park Blvd, Plano, TX 75093 Phone: 724-824-2919 | |
Khanh Thoai Truong, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6513 Chase Oaks Blvd Ste A, Plano, TX 75023 Phone: 972-509-0752 Fax: 972-517-8770 | |
Dr. Seema C Modi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5941 Dallas Pkwy Ste 100, Plano, TX 75093 Phone: 972-758-4455 Fax: 972-758-4433 | |
Dr. Gregory Alan Ennis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5655 West Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 |