Yolanda Bolanle Ajala, MD | |
8619 Broadway St, Suite 101, Pearland, TX 77584-8782 | |
(832) 409-1677 | |
(832) 409-1697 |
Full Name | Yolanda Bolanle Ajala |
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Gender | Female |
Speciality | Internal Medicine |
Location | 8619 Broadway St, Pearland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619164852 | NPI | - | NPPES |
M7004 | Other | TX | TSMBE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M7004 (Texas) | Primary |
208M00000X | Hospitalist | M7004 (Texas) | Secondary |
Entity Name | Surgery Specialty Clinicians, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568884278 PECOS PAC ID: 6608090980 Enrollment ID: O20140605001809 |
Entity Name | Pasadena Vascular Direct, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720500317 PECOS PAC ID: 9133488091 Enrollment ID: O20180123000006 |
Mailing Address | Practice Location Address |
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Yolanda Bolanle Ajala, MD 7015 Almeda Rd, Houston, TX 77054-2101 Ph: (832) 409-1677 | Yolanda Bolanle Ajala, MD 8619 Broadway St, Suite 101, Pearland, TX 77584-8782 Ph: (832) 409-1677 |
Marilynn Tedja, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16100 South Fwy, Pearland, TX 77584 Phone: 713-413-6587 | |
Prachi Mayenkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16100 South Fwy, Pearland, TX 77584 Phone: 713-413-6587 | |
Dr. Mahendra G. Jain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8520 Broadway St, Suite 200, Pearland, TX 77584 Phone: 281-485-4050 Fax: 281-485-6850 | |
Roger B Olade, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 12155 Shadow Creek Pkwy Ste 114, Pearland, TX 77584 Phone: 832-263-7490 Fax: 888-977-1299 | |
Ebima Clifford Okundaye, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11100 Shadow Creek Pkwy, Pearland, TX 77584 Phone: 713-770-7100 | |
Daniel Mendoza Requena, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2734 Sunrise Blvd Ste 311, Pearland, TX 77584 Phone: 281-858-3904 | |
Deepam Shaji Varughese, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 8520 Broadway St Ste 200, Pearland, TX 77584 Phone: 281-485-4050 |