Pragnyadipta Mishra, MD | |
500 W 4th St, Odessa, TX 79761-5001 | |
(432) 640-2408 | |
(432) 640-4606 |
Full Name | Pragnyadipta Mishra |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 500 W 4th St, Odessa, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932423845 | NPI | - | NPPES |
100262059 | Medicaid | WI | |
148KF | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | R4748 (Texas) | Secondary |
207L00000X | Anesthesiology | 3847 (Wisconsin) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Mailing Address | Practice Location Address |
---|---|
Pragnyadipta Mishra, MD Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-2408 | Pragnyadipta Mishra, MD 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-2408 |
Abhishek Bhari Jayadevappa, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4606 | |
Joseph F Bryan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 Fax: 432-640-4606 | |
Prem Vindhya, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 Fax: 432-640-1118 | |
Oscar Leo Nunez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 Fax: 432-640-1118 | |
Jannie Tang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 Fax: 432-640-4606 | |
Meghana R Gillala, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 | |
Punaepalli Sridhar Reddy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-2565 |