Infectious Diseases Clinic At Clear Lake Specialties Pllc | |
600 N Kobayashi Ste 308 Webster TX 77598-4841 | |
(281) 724-8336 | |
(281) 336-1619 |
Full Name | Infectious Diseases Clinic At Clear Lake Specialties Pllc |
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Speciality | Internal Medicine |
Location | 600 N Kobayashi Ste 308, Webster, Texas |
Authorized Official Name and Position | Mohammad Baba (OWNER) |
Authorized Official Contact | 2817241860 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infectious Diseases Clinic At Clear Lake Specialties Pllc Po Box 58688 Webster TX 77598-8688 Ph: (281) 724-8336 | Infectious Diseases Clinic At Clear Lake Specialties Pllc 600 N Kobayashi Ste 308 Webster TX 77598-4841 Ph: (281) 724-8336 |
NPI Number | 1144614322 |
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Provider Enumeration Date | 03/25/2015 |
Last Update Date | 06/24/2024 |
Medicare PECOS PAC ID | 2961722947 |
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Medicare Enrollment ID | O20150514000663 |
Identifier | Type | State | Issuer |
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1144614322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Mallika Kamana |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1215971049 PECOS PAC ID: 8426085556 Enrollment ID: I20050720000955 |
Provider Name | Vikas Jogi |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1053406546 PECOS PAC ID: 9436230414 Enrollment ID: I20080116000089 |
Provider Name | Husam I Issa |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1821064304 PECOS PAC ID: 0042285249 Enrollment ID: I20090211000257 |
Provider Name | Michelle Onorato |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1417991795 PECOS PAC ID: 8325146228 Enrollment ID: I20100113000623 |
Provider Name | Madiha Ashraf |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1790936144 PECOS PAC ID: 3072760172 Enrollment ID: I20120824000274 |
Provider Name | Farheen Tariq |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1083674485 PECOS PAC ID: 1951330836 Enrollment ID: I20130501000169 |
Provider Name | Bacel Nseir |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1265616858 PECOS PAC ID: 9830220789 Enrollment ID: I20141023001684 |
Provider Name | Johnnie Lynn Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679192751 PECOS PAC ID: 5395176325 Enrollment ID: I20200507001343 |
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