| Saji Joseph, Pa, Llc | |
|
2743 Smith Ranch Rd Ste 1001 Pearland TX 77584-5217 | |
| (832) 400-2291 | |
| (832) 400-2292 |
| Full Name | Saji Joseph, Pa, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2743 Smith Ranch Rd Ste 1001, Pearland, Texas |
| Authorized Official Name and Position | Saji Joseph (CEO) |
| Authorized Official Contact | 8324002291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saji Joseph, Pa, Llc 2743 Smith Ranch Rd Ste 1001 Pearland TX 77584-5217 Ph: (832) 400-2291 | Saji Joseph, Pa, Llc 2743 Smith Ranch Rd Ste 1001 Pearland TX 77584-5217 Ph: (832) 400-2291 |
| NPI Number | 1932863453 |
|---|---|
| Provider Enumeration Date | 10/30/2021 |
| Last Update Date | 10/30/2021 |
| Medicare PECOS PAC ID | 2961893441 |
|---|---|
| Medicare Enrollment ID | O20211216000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932863453 | NPI | - | NPPES |
| Provider Name | Saji Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215600325 PECOS PAC ID: 2769889245 Enrollment ID: I20210927000671 |
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