| Preferred Partners Specialty Care Inc | |
|
212 E Crosstimbers St Ste 130 Houston TX 77022-4409 | |
| (713) 692-0518 | |
| Not Available |
| Full Name | Preferred Partners Specialty Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 212 E Crosstimbers St Ste 130, Houston, Texas |
| Authorized Official Name and Position | Ramachandra Malya (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7136920518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Partners Specialty Care Inc 212 E Crosstimbers St Ste 130 Houston TX 77022-4409 Ph: (713) 692-0518 | Preferred Partners Specialty Care Inc 212 E Crosstimbers St Ste 130 Houston TX 77022-4409 Ph: (713) 692-0518 |
| NPI Number | 1053058669 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 06/09/2022 |
| Medicare PECOS PAC ID | 5991189722 |
|---|---|
| Medicare Enrollment ID | O20220829001600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053058669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ibrahim Garcia-mowatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689750200 PECOS PAC ID: 3274582143 Enrollment ID: I20050118000652 |
| Provider Name | Gopikishan R Rangaraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194751214 PECOS PAC ID: 7517901796 Enrollment ID: I20050617000914 |
| Provider Name | Ramachandra Malya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235171729 PECOS PAC ID: 5799695458 Enrollment ID: I20050908000304 |
| Provider Name | Manjeshwar Prabhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659439230 PECOS PAC ID: 7911959580 Enrollment ID: I20070711000992 |
| Provider Name | Suryam Kodali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669554218 PECOS PAC ID: 5890827794 Enrollment ID: I20100712000618 |
| Provider Name | Balchander Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710026158 PECOS PAC ID: 2062470651 Enrollment ID: I20140217000147 |
| Provider Name | Wei Yin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801480603 PECOS PAC ID: 4688069362 Enrollment ID: I20220316000015 |
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