Organization
SRINIVAS PATHAPATI, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS PATHAPATI (MD)
(806) 467-9820
Entity
Organization
Contact information
Practice address
6833 PLUM CREEK DR, AMARILLO, TX 79124-1602
(806) 467-9820
(806) 467-9743
Mailing address
PO BOX 9467, BELFAST, ME 04915-9467
(806) 467-9820
(806) 467-9743
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066QV
BCBS NUMBER
TX
05
—
160273201
—
TX
01
—
DF5955
RAILROAD MEDICARE
TX
01
—
G57397
UPIN NUMBER
TX
01
—
K9386
MEDICAL LICENSE
TX
01
—
USE EIN
CHAMPUS/TRICARE PGBA
TX
Enumeration date
01/08/2008
Last updated
08/02/2019
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