Provider Demographics
NPI:1851268270
Name:MAMIDI, APARNA (MACOM, L AC, DIPL)
Entity type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:MAMIDI
Suffix:
Gender:F
Credentials:MACOM, L AC, DIPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2951 FM 1460 UNIT 302
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-3275
Mailing Address - Country:US
Mailing Address - Phone:512-669-1880
Mailing Address - Fax:
Practice Address - Street 1:2951 FM 1460 UNIT 302
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-3275
Practice Address - Country:US
Practice Address - Phone:512-669-1880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist