Shamila Mauiyyedi, MD | |
301 University Blvd, Galveston, TX 77555-5302 | |
(409) 772-1011 | |
(409) 772-5683 |
Full Name | Shamila Mauiyyedi |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 301 University Blvd, Galveston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861446254 | NPI | - | NPPES |
220031852 | Other | TX | RAILROAD MEDICARE |
8F2330 | Other | TX | BCBS |
148886801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | L5458 (Texas) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | L5458 (Texas) | Primary |
Entity Name | The University Of Texas Health Science Center At Houston |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831142751 PECOS PAC ID: 8224936836 Enrollment ID: O20031220000059 |
Mailing Address | Practice Location Address |
---|---|
Shamila Mauiyyedi, MD 6431 Fannin Street, Msb 2.136, Houston, TX 77030-1501 Ph: (713) 500-5301 | Shamila Mauiyyedi, MD 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-1011 |
Stephen M Pustilnik, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0890 Fax: 409-772-0885 | |
Mariangela Gomez Ferrer, MD Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-5683 | |
Mukhayyo Ismailova, Pathology Medicare: Not Enrolled in Medicare Practice Location: 711 Holiday Dr Apt 21, Galveston, TX 77550 Phone: 346-289-0878 | |
Dmitrii Vozniuk, Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2856 | |
Eduardo Javier Eyzaguirre, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Yadira Elizabeth Chavez, Pathology Medicare: Not Enrolled in Medicare Practice Location: 712 Texas Ave, Galveston, TX 77555 Phone: 409-772-1011 | |
Paul J Boor, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |