| Clear Lake Inpatient Care Pa | |
|
500 W Medical Center Blvd Webster TX 77598-4220 | |
| (281) 942-8001 | |
| (281) 724-1919 |
| Full Name | Clear Lake Inpatient Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 W Medical Center Blvd, Webster, Texas |
| Authorized Official Name and Position | Sidharth Ghosh (OWNER) |
| Authorized Official Contact | 2818279609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Inpatient Care Pa Po Box 57334 Webster TX 77598-7334 Ph: (281) 942-8001 | Clear Lake Inpatient Care Pa 500 W Medical Center Blvd Webster TX 77598-4220 Ph: (281) 942-8001 |
| NPI Number | 1437743184 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 02/23/2021 |
| Medicare PECOS PAC ID | 8224446083 |
|---|---|
| Medicare Enrollment ID | O20210415000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437743184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sidharth Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881898443 PECOS PAC ID: 1153496492 Enrollment ID: I20080820000569 |
| Provider Name | Doncy Joji Eapen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225300791 PECOS PAC ID: 3678734860 Enrollment ID: I20201013003306 |
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