| Prasad V Maddukuri, MD | |
|
341 Wheatfield Dr, Suite 190, Sunnyvale, TX 75182-4638 | |
| (214) 206-3695 | |
| (866) 313-9413 |
| Full Name | Prasad V Maddukuri |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 29 Years |
| Location | 341 Wheatfield Dr, Sunnyvale, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902857295 | NPI | - | NPPES |
| TXB159166 | Other | TX | MEDICARE |
| 303013201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | P2895 (Texas) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | P2895 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott And White Medical Center Sunnyvale | Sunnyvale, TX | Hospital |
| Dallas Regional Medical Center | Mesquite, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prasad Maddukuri Md Pllc | 0941598122 | 3 |
| Entity Name | Dallas Medical Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033551312 PECOS PAC ID: 7517194491 Enrollment ID: O20131223000191 |
| Entity Name | Prasad Maddukuri Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922450170 PECOS PAC ID: 0941598122 Enrollment ID: O20161004002884 |
| Mailing Address | Practice Location Address |
|---|---|
| Prasad V Maddukuri, MD P.o Box 850214, Mesquite, TX 75185-0214 Ph: (214) 206-3695 | Prasad V Maddukuri, MD 341 Wheatfield Dr, Suite 190, Sunnyvale, TX 75182-4638 Ph: (214) 206-3695 |
Roby Rajan, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 118 N Jobson Rd, Sunnyvale, TX 75182 Phone: 516-658-5105 | |
Agha Masroor Abbas, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 231 S Collins Rd, Sunnyvale, TX 75182 Phone: 972-892-3000 | |
Dr. Suresh Nanje Gowda Belame, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 231 S Collins Rd, Sunnyvale, TX 75182 Phone: 972-892-3013 | |
Godfrey S Chithambo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 490 Us Highway 80 E Ste 200, Sunnyvale, TX 75182 Phone: 972-329-1996 Fax: 972-329-0211 | |
Billy A De Los Santos, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 341 Wheatfield Dr Ste 100, Sunnyvale, TX 75182 Phone: 972-285-0221 Fax: 972-285-0223 | |
Charles W. Mcdaniel, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 480 Us Highway 80 E Ste 200, Sunnyvale, TX 75182 Phone: 214-327-2727 Fax: 214-327-1394 | |
Ahmed Hassan, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 231 S Collins Rd, Sunnyvale, TX 75182 Phone: 972-892-3000 |