Individual
DR. SRINIVAS PATHAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6833 PLUM CREEK DR, AMARILLO, TX 79124-1602
(806) 467-9820
(806) 468-8340
Mailing address
6833 PLUM CREEK DRIVE, AMARILLO, TX 79124-1602
(806) 467-9820
(806) 467-9743
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K9386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00568U
MEDICARE GROUP PIN
TX
01
—
0066QV
BCBS PROVIDER GRP. NO
TX
05
—
160272401
—
TX
01
—
8AJ983
BCBS PROVIDER NO.
TX
Enumeration date
07/01/2005
Last updated
08/02/2019
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