9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231-0929 US PECOS Enrolled
Overview
Uma B.r.k Pakkivenkata is a Nephrologist in the DALLAS area and has over 25 years of experience. Uma B.r.k Pakkivenkata primary office location is at 9900 N CENTRAL EXPY STE 215 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1999
Uma B.r.k Pakkivenkata is affiliated with seven hospitals in the DALLAS area, including . The NPI number is 1003003609 and the information was updated approximately 3 years ago.
Uma B.r.k Pakkivenkata is affiliated with one medical group in the DALLAS area, STRAIGHTLINE MEDICAL CONSULTANTS.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 0101249410 | VA |
| N3969 | TX |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 3127078 | TX |
| Taxonomy | State | Primary? |
|---|---|---|
| Nephrologist - Taxonomy Code 207RN0300X | TX | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | TX | N |
| Internal Medicine Physician - Taxonomy Code 207R00000X | VA | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20120906000614 |
| PECOS Individual PAC ID: | 2668640285 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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