| Katy Medical & Wellness | |
|
701 S Fry Rd Suite 205 Katy TX 77450-2255 | |
| (281) 492-1900 | |
| (281) 492-1060 |
| Full Name | Katy Medical & Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 S Fry Rd, Katy, Texas |
| Authorized Official Name and Position | Hema C Patel (MD/PRESIDENT) |
| Authorized Official Contact | 8324981395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Medical & Wellness 701 S Fry Rd Suite 205 Katy TX 77450-2255 Ph: (281) 492-1900 | Katy Medical & Wellness 701 S Fry Rd Suite 205 Katy TX 77450-2255 Ph: (281) 492-1900 |
| NPI Number | 1568637718 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 5092884353 |
|---|---|
| Medicare Enrollment ID | O20080513000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568637718 | NPI | - | NPPES |
| 00702U | Other | TX | MEDICARE GROUP NUMBER |
| 155201002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L5086 (Texas) | Primary |
| Provider Name | Hema C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639186380 PECOS PAC ID: 1355410614 Enrollment ID: I20110222000905 |
| Provider Name | Dheepa Ramasamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790926483 PECOS PAC ID: 7416138680 Enrollment ID: I20110930000160 |
| Provider Name | Chinelo Madubom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568844322 PECOS PAC ID: 2567899677 Enrollment ID: I20200303000773 |
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