| Digestive & Liver Disease Consultants, P.a. | |
|
275 Lantern Bend Dr Ste. 200 Houston TX 77090-2831 | |
| (281) 440-0101 | |
| (281) 440-6441 |
| Full Name | Digestive & Liver Disease Consultants, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 Lantern Bend Dr, Houston, Texas |
| Authorized Official Name and Position | Sophia A. Ragston (ACCOUNTS RECEIVABLES MANAGER) |
| Authorized Official Contact | 2814532022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive & Liver Disease Consultants, P.a. 275 Lantern Bend Dr Ste. 200 Houston TX 77090-2831 Ph: (281) 440-0101 | Digestive & Liver Disease Consultants, P.a. 275 Lantern Bend Dr Ste. 200 Houston TX 77090-2831 Ph: (281) 440-0101 |
| NPI Number | 1164469631 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 11/17/2010 |
| Medicare PECOS PAC ID | 5496798449 |
|---|---|
| Medicare Enrollment ID | O20050609000995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164469631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 207RG0100X (Texas) | Primary |
| Provider Name | Howard B. Hamat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376537605 PECOS PAC ID: 9133281033 Enrollment ID: I20101207000194 |
| Provider Name | Gurunath Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427042753 PECOS PAC ID: 4486674280 Enrollment ID: I20101210000579 |
| Provider Name | Rambabu Chalasani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407845399 PECOS PAC ID: 9638124514 Enrollment ID: I20120404000098 |
| Provider Name | Scott A Larson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467617050 PECOS PAC ID: 6103971221 Enrollment ID: I20120921000035 |
| Provider Name | Kathryn W Bycura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235427238 PECOS PAC ID: 2860669702 Enrollment ID: I20130725000187 |
| Provider Name | Yousef Joseph Usta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962630962 PECOS PAC ID: 1658528369 Enrollment ID: I20160613000842 |
| Provider Name | Concepcion Delos Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154854214 PECOS PAC ID: 8224302419 Enrollment ID: I20170927001639 |
| Provider Name | Oforbuike Chukwunenye Ewelukwa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891094561 PECOS PAC ID: 4981832441 Enrollment ID: I20170928000068 |
| Provider Name | Olakumbi B Otulana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760769699 PECOS PAC ID: 7911286554 Enrollment ID: I20180108001934 |
| Provider Name | Prasun Pushkarray Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720575293 PECOS PAC ID: 5395960397 Enrollment ID: I20180629002146 |
| Provider Name | Meron Abraham Tesfay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356603914 PECOS PAC ID: 4981906369 Enrollment ID: I20181001001059 |
| Provider Name | Nathaniel Kwak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245674191 PECOS PAC ID: 1153639471 Enrollment ID: I20190731003388 |
| Provider Name | Hamza Aziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306230362 PECOS PAC ID: 4789933128 Enrollment ID: I20210115001298 |
| Provider Name | Mohamed D Mahmoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962701326 PECOS PAC ID: 5799008462 Enrollment ID: I20210706003609 |
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