45D2113380 CLIA NUMBER - BENARJI TEGALA, MD, PA

Laboratory Demographics

CLIA Number: 45D2113380

Facility Name: BENARJI TEGALA, MD, PA

Facility Address:
201 W 5TH STREET
BONHAM, TX
ZIP 75418
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Facility Phone Number: 903 640-4700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518925841

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 45D2113380
LAB Type Physician Office
Facility Name BENARJI TEGALA, MD, PA
Street 201 W 5TH STREET
City BONHAM
State TX
ZIP 75418
Phone 903 640-4700
CertificateType 4
CertificateEffectiveDate 3/7/2024
CertificateExpirationDate 3/6/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024