| Sushma Gorrela Family Practice | |
|
18 Meadowridge Pl The Woodlands TX 77381-6275 | |
| (281) 257-5977 | |
| (281) 257-5966 |
| Full Name | Sushma Gorrela Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 18 Meadowridge Pl, The Woodlands, Texas |
| Authorized Official Name and Position | Mani Kishore Sharma (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2812575977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sushma Gorrela Family Practice 18 Meadowridge Pl The Woodlands TX 77381-6275 Ph: (281) 257-5977 | Sushma Gorrela Family Practice 18 Meadowridge Pl The Woodlands TX 77381-6275 Ph: (281) 257-5977 |
| NPI Number | 1356500631 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356500631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L6740 (Texas) | Primary |
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