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Aneesh Atul Bapodra

Internal Medicine

Allopathic & Osteopathic Physicians

1100 Wilford Hall Loop, Jbsa Lackland, TX 78236

PECOS Enrollment

This provider is enrolled in PECOS as ANEESH BAPODRA.

Based on the most recent information from CMS, provider Aneesh Atul Bapodra is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1154940070
Provider Type
Individual
Full Name
Bapodra, Aneesh Atul
Gender
Male

Sole Proprietor
No
Enumeration Date
4/10/2020
Last Updated
8/7/2023

Contact Information

Practice Location

1100 Wilford Hall Loop, Jbsa Lackland, TX 78236

(210) 292-7805

(210) 292-7868

Mailing Location

1100 Wilford Hall Loop, Lackland Afb, Jbsa-Lackland, TX 78236-5638

(210) 292-7805

(210) 292-7868

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101274610 Virginia

Aneesh Atul Bapodra

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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