Shailaja Jamma Md Pa | |
15200 Southwest Fwy Ste 310 Sugar Land TX 77478-1587 | |
(713) 234-5872 | |
(713) 234-5873 |
Full Name | Shailaja Jamma Md Pa |
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Speciality | Internal Medicine |
Location | 15200 Southwest Fwy Ste 310, Sugar Land, Texas |
Authorized Official Name and Position | Shailaja Jamma (OWNER / AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7132345872 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shailaja Jamma Md Pa 15200 Southwest Fwy Ste 310 Sugar Land TX 77478-3864 Ph: (713) 234-5872 | Shailaja Jamma Md Pa 15200 Southwest Fwy Ste 310 Sugar Land TX 77478-1587 Ph: (713) 234-5872 |
NPI Number | 1609571546 |
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Provider Enumeration Date | 03/31/2023 |
Last Update Date | 06/26/2023 |
Medicare PECOS PAC ID | 1658737150 |
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Medicare Enrollment ID | O20230524003713 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609571546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Shailaja Jamma |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1356584908 PECOS PAC ID: 3870637267 Enrollment ID: I20141017001650 |
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