| Healing Kidneys Institute Of Houston Pllc | |
|
200 S Rivershire Dr Ste 300 Conroe TX 77304-3485 | |
| (832) 610-2822 | |
| (936) 777-8831 |
| Full Name | Healing Kidneys Institute Of Houston Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 S Rivershire Dr Ste 300, Conroe, Texas |
| Authorized Official Name and Position | Madhavilatha Vuppali (PRESIDENT) |
| Authorized Official Contact | 8326102822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Kidneys Institute Of Houston Pllc 200 S Rivershire Dr Ste 300 Conroe TX 77304-3485 Ph: (832) 610-2822 | Healing Kidneys Institute Of Houston Pllc 200 S Rivershire Dr Ste 300 Conroe TX 77304-3485 Ph: (832) 610-2822 |
| NPI Number | 1194103382 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 07/11/2022 |
| Medicare PECOS PAC ID | 1254643232 |
|---|---|
| Medicare Enrollment ID | O20150706000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194103382 | NPI | - | NPPES |
| 209330403 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Madhavilatha Vuppali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922276112 PECOS PAC ID: 4587707427 Enrollment ID: I20100201000571 |
| Provider Name | Sushmitha Gandra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265643563 PECOS PAC ID: 9234218512 Enrollment ID: I20170320002252 |
| Provider Name | Nousheen Maredia Nayani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598235046 PECOS PAC ID: 3476987306 Enrollment ID: I20191230002090 |
| Provider Name | Marelle Montanez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891149399 PECOS PAC ID: 3072928506 Enrollment ID: I20210216001545 |
| Provider Name | Vikas Davlapur Reddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558847228 PECOS PAC ID: 2365857802 Enrollment ID: I20210216001935 |
| Provider Name | Taquiuddin Khaja |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730536889 PECOS PAC ID: 9234424169 Enrollment ID: I20220302002795 |
| Provider Name | Amol Minesh Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346776770 PECOS PAC ID: 2668803628 Enrollment ID: I20231106001032 |
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