Panchamukhi, Varadendra B
Panchamukhi, Varadendra B is an individual health care provider with primary practice located at 4510 Medical Center Dr Ste 108 , Mckinney TX 75069-1624. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Panchamukhi, Varadendra B can be contacted via phone (214) 726-9292.Contact Information
Primary practice address
4510 Medical Center Dr Ste 108
Mckinney TX 75069-1624
Phone: (214) 726-9292
Fax: (214) 361-3431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036-100960 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036100960 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036100960 | Illinois |
Profile Details
| NPI number | 1447332457 |
|---|---|
| LBN Legal business name | Panchamukhi, Varadendra B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jan 4th, 2022 - about 3 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 | 1447332457 | NPPES |
| Illinois | Other | 060070688 | RAILROAD |
| Illinois | MEDICAID | 036100960 | RAILROAD |
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