| Shylashree Chikkamuniyappa Edalur, MD | |
|
1026 Riverwood Dr, Longview, TX 75604-6229 | |
| (903) 239-3862 | |
| Not Available |
| Full Name | Shylashree Chikkamuniyappa Edalur |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 29 Years |
| Location | 1026 Riverwood Dr, 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 |
|---|---|---|---|
| 1609981174 | NPI | - | NPPES |
| M3188 | Other | TX | PHYSICIAN PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M3188 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Arlington Memorial Hospital | Arlington, TX | Hospital |
| U S M D Hospital At Arlington L P | Arlington, TX | Hospital |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ameripath Lubbock 501a Corporation | 5890690085 | 20 |
| Entity Name | Ameripath Lubbock 501a Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134190705 PECOS PAC ID: 5890690085 Enrollment ID: O20031201000711 |
| Entity Name | Baylor College Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316921026 PECOS PAC ID: 8527956176 Enrollment ID: O20040306000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Shylashree Chikkamuniyappa Edalur, MD 1026 Riverwood Dr, Longview, TX 75604-6229 Ph: (903) 239-3862 | Shylashree Chikkamuniyappa Edalur, MD 1026 Riverwood Dr, Longview, TX 75604-6229 Ph: (903) 239-3862 |
Dr. Melton Harwell Fish, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 700 East Marshall, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Justin Coleman Hardin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Samuel A Henderson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Dr. Carlton E. Hardin Ii, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Dr. Moyne Kornman Monts, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1106 N. 6th Street, Longview, TX 75601 Phone: 903-757-3223 Fax: 844-315-0256 | |
Dr. Jana Lisle Wimmer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 |