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NPI Code Detail

MEDICARE: ANAMAYA INTERNAL MEDICINE PLLC

MEDICARE: ANAMAYA INTERNAL MEDICINE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianP8743TX

General Provider Information

NPI Number : 1558767558
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANAMAYA INTERNAL MEDICINE PLLC
Provider Business Mailing Address
First Line : 54 W DOUBLE GREEN CIR
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77382-1098
Country : US
Telephone Number : 281-255-4900
Fax Number : 281-255-4901
Provider Business Practice Location Address
First Line : 25420 KUYKENDAHL RD
Second Line : STE D1000
City : THE WOODLANDS
State : TX
Zip : 77375-0000
Country : US
Telephone Number : 281-255-4900
Fax Number : 281-255-4901
Authorized Official
Title or Position : OWNER/SOLE MEMBER
Name : DR. MYTHILI S VEDALA
Credential : M.D.
Telephone Number : 281-255-4900
Provider Enumeration Date : 11/18/2014
Last Update Date : 11/18/2014

Similar Medicare Providers

1609824184 — MYTHILI VEDALA M.D
Practice Location Address:
25420 KUYKENDAHL RD , STE D1000
THE WOODLANDS, TX
77375-0000
Practice Phone: 281-255-4900
Practice Fax: 281-255-4901
1649261900 — LIFETIME EYECARE ASSOCIATES
Practice Location Address:
27214 KUYKENDAHL RD , SUITE 100
THE WOODLANDS, TX
77375
Practice Phone: 281-465-8300
Practice Fax: 281-465-8303
1295789337 — MEMORIAL MULTISPECIALTY ASSOCIATES
Practice Location Address:
8558 CREEKSIDE FOREST DR
THE WOODLANDS, TX
77375-2175
Practice Phone: 713-798-1128
Practice Fax:
1306937727 — DR. GRISEL LAGUNAS O.D.
Practice Location Address:
27214 KUYKENDAHL RD
THE WOODLANDS, TX
77375
Practice Phone: 281-465-8300
Practice Fax: 281-465-8303
1083834295 — DR. ANDREW TO O.D.
Practice Location Address:
26400 KUYKENDAHL RD , SUITE A190
THE WOODLANDS, TX
77375-2882
Practice Phone: 832-559-3861
Practice Fax: 832-698-1195
1962616706 — SAM EDWIN ROLON D.O.
Practice Location Address:
8558 CREEKSIDE FOREST DR STE B
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77375-2175
Practice Phone: 832-534-7700
Practice Fax:

Directions to “ANAMAYA INTERNAL MEDICINE PLLC ” Practice Location

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