Poudel, Atul

Poudel, Atul is an individual health care provider with primary practice located at 4102 24Th St Ste 303 , Lubbock TX 79410-1802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Poudel, Atul can be contacted via phone (806) 725-8395.

Contact Information

Primary practice address
4102 24Th St Ste 303 Lubbock TX 79410-1802
Phone: (806) 725-8395
Fax: (806) 723-7005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X S7316 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X S7316 Texas

Profile Details

NPI number 1447674858
LBN Legal business name Poudel, Atul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2014
Last updated Feb 1st, 2024 - about last year

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 1447674858 NPPES
New Mexico Other 1447674858 BCBS NM
New Mexico MEDICAID 27022242 BCBS NM
New Mexico Other 8SL700 BCBS NM
New Mexico MEDICAID 1447674858 BCBS NM
New Mexico Other 2I6403 BCBS NM

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