| Southern Medical Associates Pllc | |
|
3520 Preston Rd Ste 108 Frisco TX 75034-9488 | |
| (214) 436-4949 | |
| (214) 436-5792 |
| Full Name | Southern Medical Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3520 Preston Rd Ste 108, Frisco, Texas |
| Authorized Official Name and Position | Latha Yedlapalli (MD) |
| Authorized Official Contact | 2148434624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Medical Associates Pllc 3520 Preston Rd Ste 108 Frisco TX 75034-9488 Ph: (214) 436-4949 | Southern Medical Associates Pllc 3520 Preston Rd Ste 108 Frisco TX 75034-9488 Ph: (214) 436-4949 |
| NPI Number | 1518260256 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 05/18/2012 |
| Medicare PECOS PAC ID | 2466613146 |
|---|---|
| Medicare Enrollment ID | O20120406000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518260256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Sri Vc Yedlapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902842172 PECOS PAC ID: 6406817857 Enrollment ID: I20070613000747 |
| Provider Name | Latha Yedlapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356368898 PECOS PAC ID: 9638197924 Enrollment ID: I20070802000756 |
| Provider Name | Babita John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902492945 PECOS PAC ID: 4082021118 Enrollment ID: I20210407001839 |
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