| Center For Digestive Disease | |
|
129 Vision Park Blvd Ste 307 Shenandoah TX 77384-3024 | |
| (936) 321-5440 | |
| (936) 271-2606 |
| Full Name | Center For Digestive Disease |
|---|---|
| Speciality | Internal Medicine |
| Location | 129 Vision Park Blvd Ste 307, Shenandoah, Texas |
| Authorized Official Name and Position | Peter R Kvapil (PRESIDENT) |
| Authorized Official Contact | 9363215440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Digestive Disease 129 Vision Park Blvd Ste 307 Shenandoah TX 77384-3024 Ph: (936) 321-5440 | Center For Digestive Disease 129 Vision Park Blvd Ste 307 Shenandoah TX 77384-3024 Ph: (936) 321-5440 |
| NPI Number | 1508324013 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 03/28/2019 |
| Medicare PECOS PAC ID | 0143563304 |
|---|---|
| Medicare Enrollment ID | O20190510001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508324013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael Warren Robles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427034495 PECOS PAC ID: 7618947334 Enrollment ID: I20040729001021 |
| Provider Name | Peter R Kvapil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023093481 PECOS PAC ID: 9638110075 Enrollment ID: I20050517000266 |
| Provider Name | Shail Maheshwari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629230883 PECOS PAC ID: 5698943462 Enrollment ID: I20110721000869 |
| Provider Name | Rambabu Chalasani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407845399 PECOS PAC ID: 9638124514 Enrollment ID: I20120404000098 |
| Provider Name | Apurv Varia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578857512 PECOS PAC ID: 5597938977 Enrollment ID: I20130918000523 |
| Provider Name | Avais Murad Chatha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083858617 PECOS PAC ID: 7517286263 Enrollment ID: I20160719000293 |
| Provider Name | Matthew Timothy Clark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497072227 PECOS PAC ID: 1850532581 Enrollment ID: I20170517001820 |
| Provider Name | Kimberly Lynn Diel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245887447 PECOS PAC ID: 2668897489 Enrollment ID: I20200810003284 |
| Provider Name | Kellie Lynn Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083215800 PECOS PAC ID: 4587071592 Enrollment ID: I20210318000607 |
| Provider Name | Joy Varner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982297404 PECOS PAC ID: 2163825084 Enrollment ID: I20210729000381 |
| Provider Name | Nirva Joseph Guillaume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720704463 PECOS PAC ID: 9638544463 Enrollment ID: I20230410002273 |
| Provider Name | Joshua Steven Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902675168 PECOS PAC ID: 5294176657 Enrollment ID: I20240516000352 |
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