| Smitha E Oommen Md Pllc | |
|
3560 Delaware St Ste 1104 Beaumont TX 77706-3000 | |
| (409) 347-8870 | |
| (409) 554-0016 |
| Full Name | Smitha E Oommen Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3560 Delaware St Ste 1104, Beaumont, Texas |
| Authorized Official Name and Position | Smitha Elizabeth Oommen (OWNER) |
| Authorized Official Contact | 4092125967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smitha E Oommen Md Pllc 3560 Delaware St Ste 1104 Beaumont TX 77706-3000 Ph: (409) 347-8870 | Smitha E Oommen Md Pllc 3560 Delaware St Ste 1104 Beaumont TX 77706-3000 Ph: (409) 347-8870 |
| NPI Number | 1891064200 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 03/06/2020 |
| Medicare PECOS PAC ID | 4880851617 |
|---|---|
| Medicare Enrollment ID | O20120207000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891064200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N7853 (Texas) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | N7853 (Texas) | Primary |
| Provider Name | Smitha E Oommen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1184829764 PECOS PAC ID: 8022275858 Enrollment ID: I20120207000751 |
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