Atul Poudel
MD | Pediatric Nephrology | Male
Atul Poudel, MD is a Lubbock, Texas based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Atul Poudel is
2215 Nashville Ave, Lubbock, Texas - 79410-1105. He can be contacted on phone at
806-725-5844 and fax number 806-723-6532.
Atul Poudel is a sole proprietor of his business.
NPI number (Unique professional ID) for Atul Poudel is
1447674858 which was assigned by NPPES on 06 Feb, 2014 and it was last updated on 19 Oct, 2022.
Atul Poudel license number is
S7316 for Pediatrics, Pediatric Nephrology (2080P0210X) in Texas.
Atul Poudel deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Atul Poudel basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Nephrology |
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| Provider Name : | Atul Poudel |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Atul Poudel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2215 Nashville Ave
Lubbock, TX, 79410-1105
United States |
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| Phone Number : | 806-725-5844 |
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| Fax Number : | 806-723-6532 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1447674858 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Feb, 2014 |
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| Last Updated On : | 19 Oct, 2022 |
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Medicare Participation:
Atul Poudel participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3173757663 |
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| Medicare Enrollment ID : | I20200729004142 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2006 |
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| Accepts Medicare? | Yes. Atul Poudel accepts medicare insurance. |
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Group Practice Association:
Atul Poudel is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Atul Poudel is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Covenant Medical Group | 6901889393 | 207 | 2215 Nashville Ave
Lubbock, TX - 794101105
Ph: 8067255844 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Atul Poudel are as mentioned. Primary taxonomy code for Atul Poudel, MD is
2080P0210X (Pediatrics, Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | S7316 | TX |
| 2080P0210X | Pediatrics, Pediatric Nephrology | Yes | S7316 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Atul Poudel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1447674858 | Other (non-Medicare) | NM | BCBS NM |
| 1447674858 | MEDICAID | TX | |
| 27022242 | MEDICAID | NM | |
| 2I6403 | Other (non-Medicare) | TX | Medicare |
| 8SL700 | Other (non-Medicare) | TX | BCBS |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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840 W CLEMENTS ST,
ODESSA, TX, 79763-4601
United States | ODESSA, TX | 432-640-4860 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4102 24th St Ste 303
Lubbock, TX, 79410-1802
United States |
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| Phone Number : | 806-725-8395 |
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| Fax Number : | 806-723-7005 |
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Business Location:
Patients can refer following map for directions to
Atul Poudel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.