| Valley Ranch Internal Medicine, Pllc | |
|
9901 Valley Ranch Pkwy E Ste 2075 Irving TX 75063-7185 | |
| (972) 505-3401 | |
| (214) 377-8833 |
| Full Name | Valley Ranch Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9901 Valley Ranch Pkwy E Ste 2075, Irving, Texas |
| Authorized Official Name and Position | Vijaya Shree Chintala (MD) |
| Authorized Official Contact | 9725053401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Ranch Internal Medicine, Pllc 9901 Valley Ranch Pkwy E Ste 2075 Irving TX 75063-7185 Ph: (469) 993-7212 | Valley Ranch Internal Medicine, Pllc 9901 Valley Ranch Pkwy E Ste 2075 Irving TX 75063-7185 Ph: (972) 505-3401 |
| NPI Number | 1073026704 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 5193088532 |
|---|---|
| Medicare Enrollment ID | O20180417001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073026704 | NPI | - | NPPES |
| 195129501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M8598 (Texas) | Primary |
| Provider Name | Vijaya Chintala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548339526 PECOS PAC ID: 4082633292 Enrollment ID: I20080729000484 |
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