NPI: 1356907695 · DALLAS, GA 30157 · Psychologist · NPI assigned 05/13/2019
| Authorized Official | PULLURU, SOUJANYA (PRESIDENT) |
| NPI Enumeration Date | 05/13/2019 |
Other providers sharing the same authorized official: PULLURU, SOUJANYA
| Provider | City | State | Total Paid |
|---|---|---|---|
| MC MEDICAL LLC | MIDDLEBURG | FL | $2K |
| MC MEDICAL LLC | JACKSONVILLE | FL | $653.82 |
| MC MEDICAL LLC | KISSIMMEE | FL | $624.93 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 187 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 187 | 187 | $7K |