| Sreeman Jampana, Md, Pllc | |
|
1603 Judson Rd Longview TX 75601-3649 | |
| (903) 758-4491 | |
| (903) 758-0993 |
| Full Name | Sreeman Jampana, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1603 Judson Rd, Longview, Texas |
| Authorized Official Name and Position | Sreeman Jampana (PHYSICAN/OWNER) |
| Authorized Official Contact | 9037584491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sreeman Jampana, Md, Pllc 1603 Judson Rd Longview TX 75601-3649 Ph: (903) 758-4491 | Sreeman Jampana, Md, Pllc 1603 Judson Rd Longview TX 75601-3649 Ph: (903) 758-4491 |
| NPI Number | 1851854178 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 04/12/2019 |
| Medicare PECOS PAC ID | 4981938065 |
|---|---|
| Medicare Enrollment ID | O20190624001351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851854178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sreemannaryana Jampana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790776466 PECOS PAC ID: 8325144082 Enrollment ID: I20100114000417 |
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