| Siri Parvataneni Md Pa | |
|
10800 Gosling Rd Unit 130653 Spring TX 77393-4032 | |
| (409) 200-1950 | |
| Not Available |
| Full Name | Siri Parvataneni Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10800 Gosling Rd Unit 130653, Spring, Texas |
| Authorized Official Name and Position | Sirisha Parvataneni (DIRECTOR) |
| Authorized Official Contact | 4092001950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siri Parvataneni Md Pa 10800 Gosling Rd Spring TX 77393-4001 Ph: (409) 200-1950 | Siri Parvataneni Md Pa 10800 Gosling Rd Unit 130653 Spring TX 77393-4032 Ph: (409) 200-1950 |
| NPI Number | 1801327762 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 06/27/2019 |
| Medicare PECOS PAC ID | 2668701319 |
|---|---|
| Medicare Enrollment ID | O20190906000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801327762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | P0464 (Texas) | Primary |
| Provider Name | Sirisha Parvataneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326206822 PECOS PAC ID: 0042465205 Enrollment ID: I20130220000042 |
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