| Neuro-hospitalist Of Clear Lake, Pllc | |
|
450 Medical Center Blvd Suite 600 Webster TX 77598-4234 | |
| (281) 554-1650 | |
| (866) 321-1602 |
| Full Name | Neuro-hospitalist Of Clear Lake, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 450 Medical Center Blvd, Webster, Texas |
| Authorized Official Name and Position | Todd Evans (VICE PRESIDENT) |
| Authorized Official Contact | 7138521550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro-hospitalist Of Clear Lake, Pllc 450 Medical Center Blvd Suite 600 Webster TX 77598-4234 Ph: (281) 554-1650 | Neuro-hospitalist Of Clear Lake, Pllc 450 Medical Center Blvd Suite 600 Webster TX 77598-4234 Ph: (281) 554-1650 |
| NPI Number | 1619277183 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 05/10/2011 |
| Medicare PECOS PAC ID | 8527243682 |
|---|---|
| Medicare Enrollment ID | O20110505000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619277183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lisa Nassif Wright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780858167 PECOS PAC ID: 9638242753 Enrollment ID: I20080723000558 |
| Provider Name | Mohammad Al Baeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427203728 PECOS PAC ID: 8628224805 Enrollment ID: I20120802000566 |
| Provider Name | Tricia Michelle Whitener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669742508 PECOS PAC ID: 8527200401 Enrollment ID: I20130805000782 |
| Provider Name | Yazan Jaafar Alderazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316113251 PECOS PAC ID: 3870807530 Enrollment ID: I20150810000230 |
| Provider Name | Christian Eduardo Cajavilca |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043630080 PECOS PAC ID: 5294030490 Enrollment ID: I20190613001346 |
| Provider Name | Imran Farooqui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649677410 PECOS PAC ID: 7517274772 Enrollment ID: I20190826000824 |
| Provider Name | Ferhad Feroze Bashir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104266477 PECOS PAC ID: 9931424264 Enrollment ID: I20190926002962 |
| Provider Name | Mohamad Ezzeldin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336436377 PECOS PAC ID: 3476827965 Enrollment ID: I20191023001557 |
| Provider Name | Shamaelah Javed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164730206 PECOS PAC ID: 6002102324 Enrollment ID: I20191111000469 |
| Provider Name | Melanie A Roberts-boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396812095 PECOS PAC ID: 6002818580 Enrollment ID: I20200127001743 |
| Provider Name | Mary-ann Fares |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962843441 PECOS PAC ID: 6608166129 Enrollment ID: I20200624002244 |
| Provider Name | Kiely Whitham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730705252 PECOS PAC ID: 1355752536 Enrollment ID: I20201118002624 |
| Provider Name | Mohammad El-ghanem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912276221 PECOS PAC ID: 5294080040 Enrollment ID: I20210814000082 |
| Provider Name | Benjamin Michael Aertker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861836710 PECOS PAC ID: 0941605448 Enrollment ID: I20210821000029 |
| Provider Name | Ali Kerro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487068342 PECOS PAC ID: 8820389414 Enrollment ID: I20220722000112 |
| Provider Name | Gutej Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255852422 PECOS PAC ID: 1658603766 Enrollment ID: I20230502000700 |
| Provider Name | Varun Chaubal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619230240 PECOS PAC ID: 0244587251 Enrollment ID: I20230927000092 |
| Provider Name | Sleiman El Jamal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063774297 PECOS PAC ID: 8820331895 Enrollment ID: I20231207001932 |
| Provider Name | Sushrut Dharmadhikari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831496942 PECOS PAC ID: 2264700236 Enrollment ID: I20231207002752 |
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