Mekala, Karthik Diwakar

Mekala, Karthik Diwakar is an individual health care provider with primary practice located at 700 E Marshall Ave , Longview TX 75601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Mekala, Karthik Diwakar can be contacted via phone (903) 315-2000.

Contact Information

Primary practice address
700 E Marshall Ave Longview TX 75601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X R9814 Texas

Profile Details

NPI number 1669739942
LBN Legal business name Mekala, Karthik Diwakar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Sep 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669739942 NPPES
Texas Other P02270211 MEDICARE RAIL ROAD
Texas MEDICAID 399470901 MEDICARE RAIL ROAD

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