Sudhakar Venkata Mallela Md Inc - Medicare Primary Care in Riverside, CA

Sudhakar Venkata Mallela Md Inc is a medicare enrolled primary clinic (Internal Medicine - Infectious Disease) in Riverside, California. The current practice location for Sudhakar Venkata Mallela Md Inc is 6885 Brockton Ave, Riverside, California. For appointments, you can reach them via phone at (702) 256-3637. The mailing address for Sudhakar Venkata Mallela Md Inc is 6885 Brockton Ave, Riverside, California and phone number is () -.

Sudhakar Venkata Mallela Md Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1518411636. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (702) 256-3637.

Contact Information

Sudhakar Venkata Mallela Md Inc
6885 Brockton Ave
Riverside
CA 92506-3811
(702) 256-3637
Not Available

Primary Care Clinic Profile

Full NameSudhakar Venkata Mallela Md Inc
SpecialityInternal Medicine
Location6885 Brockton Ave, Riverside, California
Authorized Official Name and PositionSudhakar Venkata Mallela (PRESIDENT)
Authorized Official Contact7022563637
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sudhakar Venkata Mallela Md Inc
6885 Brockton Ave
Riverside
CA 92506-3811

Ph: () -
Sudhakar Venkata Mallela Md Inc
6885 Brockton Ave
Riverside
CA 92506-3811

Ph: (702) 256-3637

NPI Details:

NPI Number1518411636
Provider Enumeration Date08/05/2016
Last Update Date07/17/2018

Medicare PECOS Information:

Medicare PECOS PAC ID9830485663
Medicare Enrollment IDO20160902002087

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Medical Identifiers

Medical identifiers for Sudhakar Venkata Mallela Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518411636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sudhakar Venkata Mallela Md Inc acts as a billing entity for following providers:
Provider NameSudhakar V Mallela
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1851498729
PECOS PAC ID: 7517949662
Enrollment ID: I20150115001124

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