| Madhava Agusala Md.,p.a | |
|
318 N Alleghaney Ave Ste 402 Odessa TX 79761-5052 | |
| (432) 337-2714 | |
| (432) 337-2726 |
| Full Name | Madhava Agusala Md.,p.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 318 N Alleghaney Ave, Odessa, Texas |
| Authorized Official Name and Position | Madhava Agusala (PRESIDENT) |
| Authorized Official Contact | 4323372714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madhava Agusala Md.,p.a 318 N Alleghaney Ave Ste 402 Odessa TX 79761-5052 Ph: (432) 337-2714 | Madhava Agusala Md.,p.a 318 N Alleghaney Ave Ste 402 Odessa TX 79761-5052 Ph: (432) 337-2714 |
| NPI Number | 1619191541 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 06/26/2009 |
| Medicare PECOS PAC ID | 6507776093 |
|---|---|
| Medicare Enrollment ID | O20090604000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619191541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | K3962 (Texas) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | J1178 (Texas) | Primary |
| Provider Name | Madhava Agusala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700915303 PECOS PAC ID: 5890605398 Enrollment ID: I20090604000511 |
| Provider Name | Vasantha Agusala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619006228 PECOS PAC ID: 8921287905 Enrollment ID: I20110124000114 |
John H. Doran,m.d., P.l.lc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Dotsy Ave, Odessa, TX 79763 Phone: 432-333-3295 Fax: 432-333-8840 | |
Permian Women's Center, P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 N Tom Green Ave, Odessa, TX 79761 Phone: 432-580-9876 | |
Sing Dy Uy,md Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2461-a East 11th St, Odessa, TX 79761 Phone: 432-334-8845 Fax: 432-334-8875 | |
University Prompt Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2651 Kermit Hwy, Odessa, TX 79763 Phone: 432-333-3637 | |
Scotty Ortega Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4415 Hinkle St, Odessa, TX 79762 Phone: 432-940-3240 | |
Ahmed Hassan, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 325-763-8473 | |
Permian Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 E 2nd Suite A, Odessa, TX 79761 Phone: 432-332-3400 Fax: 432-332-6500 |