| Regional Digestive Consultants Pa | |
|
920 Medial Plaza Dr Ste 480 Shenandoah TX 77380-3259 | |
| (281) 528-1511 | |
| (281) 419-8485 |
| Full Name | Regional Digestive Consultants Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 920 Medial Plaza Dr, Shenandoah, Texas |
| Authorized Official Name and Position | Shailaja Behara (PRESIDENT/OWNER) |
| Authorized Official Contact | 2815281511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Digestive Consultants Pa Po Box 132889 The Woodlands TX 77393-2889 Ph: (281) 528-1511 | Regional Digestive Consultants Pa 920 Medial Plaza Dr Ste 480 Shenandoah TX 77380-3259 Ph: (281) 528-1511 |
| NPI Number | 1164660890 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 04/21/2023 |
| Medicare PECOS PAC ID | 9830256619 |
|---|---|
| Medicare Enrollment ID | O20090323000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164660890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | L1801 (Texas) | Primary |
| Provider Name | Shailaja S Behara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255318044 PECOS PAC ID: 4284791062 Enrollment ID: I20090323000224 |
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