Pamganamamula, Madhu
Pamganamamula, Madhu is an individual health care provider with primary practice located at 420 E 6Th St Suite 107, Odessa TX 79761-4529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pamganamamula, Madhu can be contacted via phone (432) 582-2446.Contact Information
Primary practice address
420 E 6Th St Suite 107
Odessa TX 79761-4529
Phone: (432) 582-2446
Fax: (432) 582-2960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L1155 | Texas |
Profile Details
| NPI number | 1699743187 |
|---|---|
| LBN Legal business name | Pamganamamula, Madhu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Feb 27th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699743187 | NPPES |
| Texas | MEDICAID | 045046201 |
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