| Sumana Ketha, Md Pa | |
|
2925 Skyway Cir N Irving TX 75038-3510 | |
| (972) 929-2270 | |
| Not Available |
| Full Name | Sumana Ketha, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2925 Skyway Cir N, Irving, Texas |
| Authorized Official Name and Position | Sumana Ketha (PROVIDER) |
| Authorized Official Contact | 2142824367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumana Ketha, Md Pa 2925 Skyway Cir N Irving TX 75038-3510 Ph: (972) 247-3060 | Sumana Ketha, Md Pa 2925 Skyway Cir N Irving TX 75038-3510 Ph: (972) 929-2270 |
| NPI Number | 1356565865 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 11/15/2010 |
| Medicare PECOS PAC ID | 6103860044 |
|---|---|
| Medicare Enrollment ID | O20050613000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356565865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sumana Ketha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962447805 PECOS PAC ID: 9032199468 Enrollment ID: I20040724000335 |
| Provider Name | Rina Sarkar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073558433 PECOS PAC ID: 0840265138 Enrollment ID: I20180511000815 |
| Provider Name | Kopila Gopali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487138202 PECOS PAC ID: 3971901216 Enrollment ID: I20211018001135 |
| Provider Name | Ariadna C Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639872013 PECOS PAC ID: 6305294935 Enrollment ID: I20231121000562 |
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