| Srinivas R Panja Md Pa | |
|
19701 Kingwood Dr Building 4, Suite A Kingwood TX 77339 | |
| (713) 936-2966 | |
| Not Available |
| Full Name | Srinivas R Panja Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 19701 Kingwood Dr, Kingwood, Texas |
| Authorized Official Name and Position | Srinivas R Panja (OWNER) |
| Authorized Official Contact | 7153309331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Srinivas R Panja Md Pa Po Box 131913 Spring TX 77393-1913 Ph: () - | Srinivas R Panja Md Pa 19701 Kingwood Dr Building 4, Suite A Kingwood TX 77339 Ph: (713) 936-2966 |
| NPI Number | 1407151467 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 07/25/2018 |
| Medicare PECOS PAC ID | 7315120581 |
|---|---|
| Medicare Enrollment ID | O20110324001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407151467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | N7647 (Texas) | Primary |
| Provider Name | Srinivas Rao Panja |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336298199 PECOS PAC ID: 2163464835 Enrollment ID: I20110324001018 |
| Provider Name | Crystal Marie Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609566413 PECOS PAC ID: 5193170512 Enrollment ID: I20231004003107 |
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