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Contact Information

VARADENDRA B PANCHAMUKHI, MD
4510 MEDICAL CENTER DR STE 108
MCKINNEY, TX75069-1624
 Phone: 214-726-9292
 Fax: 214-361-3431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for VARADENDRA B PANCHAMUKHI · (Male)

NPI Number 1447332457
Status Active
Credentials MD
Entity Individual
Enumeration date 10/19/2006
Last updated 01/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-100960
  • IL License # 036100960
  • IL Medicaid 036100960
  • IL Other 060070688 RAILROAD
Hospital affiliation(s)
  • MEDICAL CENTER OF MCKINNEY - (Acute Care)
    4500 MEDICAL CENTER DRIVE
    MCKINNEY, TX 75069
  • MEDICAL CENTER OF PLANO - (Acute Care)
    3901 W 15TH ST
    PLANO, TX 75075
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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