Sridevi Ellickal, MD | |
1 Baylor Plz, Dept Of Pediatrics, Bcm 320, Houston, TX 77030-3411 | |
(832) 824-1170 | |
Not Available |
Full Name | Sridevi Ellickal |
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Gender | Female |
Speciality | Pediatrics |
Location | 1 Baylor Plz, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760740195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD-45510 (Iowa) | Primary |
Entity Name | Trinity Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
Entity Name | Central Iowa Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104879576 PECOS PAC ID: 1052229275 Enrollment ID: O20040128001102 |
Mailing Address | Practice Location Address |
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Sridevi Ellickal, MD 1200 Pleasant Street, South 2 Room 236, Des Moines, IA 50301 Ph: (515) 241-6228 | Sridevi Ellickal, MD 1 Baylor Plz, Dept Of Pediatrics, Bcm 320, Houston, TX 77030-3411 Ph: (832) 824-1170 |
Sonia Ann Monteiro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Meenakshi G Hegde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Rebecca Jean Chancey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6621a Fannin St., Houston, TX 77030 Phone: 713-770-5454 | |
Lisa R Lapeze, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18338 Kingsland Blvd, Suite 210, Houston, TX 77094 Phone: 281-599-7334 Fax: 281-599-7040 | |
Elvis Aaron Cavazos, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14730 Barryknoll Ln, Houston, TX 77079 Phone: 281-496-9700 Fax: 281-496-7821 | |
Marlene D. Typaldos Sanchez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St Ste 1040, Houston, TX 77030 Phone: 832-822-3309 Fax: 832-825-3308 | |
Zachary Foughty, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1173 |