| Omkar Dave Md Pllc | |
|
1045 Gemini St Houston TX 77058-2705 | |
| (281) 335-1111 | |
| (281) 286-2950 |
| Full Name | Omkar Dave Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1045 Gemini St, Houston, Texas |
| Authorized Official Name and Position | Omkar Dave (PRESIDENT) |
| Authorized Official Contact | 8326434251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omkar Dave Md Pllc 1045 Gemini St Houston TX 77058-2705 Ph: (281) 335-1111 | Omkar Dave Md Pllc 1045 Gemini St Houston TX 77058-2705 Ph: (281) 335-1111 |
| NPI Number | 1134598345 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Medicare PECOS PAC ID | 6608166905 |
|---|---|
| Medicare Enrollment ID | O20160527000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134598345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | Q3662 (Texas) | Primary |
| Provider Name | Kelly W Stephenson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164501797 PECOS PAC ID: 3577699933 Enrollment ID: I20100325000226 |
| Provider Name | Omkar Dave |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992949770 PECOS PAC ID: 0042432320 Enrollment ID: I20160527000463 |
| Provider Name | Aaditya Vaidya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003296773 PECOS PAC ID: 4082923552 Enrollment ID: I20180326001094 |
| Provider Name | Barkha Naren Chhabra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821223157 PECOS PAC ID: 1254589831 Enrollment ID: I20221003002014 |
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