| Tamirisa Renu,m.d,pa | |
|
7777 Southwest Fwy Ste 530 Houston TX 77074-1811 | |
| (713) 271-7549 | |
| (713) 271-7454 |
| Full Name | Tamirisa Renu,m.d,pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7777 Southwest Fwy Ste 530, Houston, Texas |
| Authorized Official Name and Position | Tamirisa Renu (OWNER) |
| Authorized Official Contact | 7132717549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamirisa Renu,m.d,pa 7777 Southwest Fwy Ste 530 Houston TX 77074-1811 Ph: (713) 271-7549 | Tamirisa Renu,m.d,pa 7777 Southwest Fwy Ste 530 Houston TX 77074-1811 Ph: (713) 271-7549 |
| NPI Number | 1407960891 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0345213328 |
|---|---|
| Medicare Enrollment ID | O20040817001340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407960891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Renu Tamirisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336149400 PECOS PAC ID: 0345244307 Enrollment ID: I20100406000540 |
| Provider Name | Aparna Tamirisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124273974 PECOS PAC ID: 2466516208 Enrollment ID: I20110105000897 |
| Provider Name | Jillianne A Cheong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417334954 PECOS PAC ID: 5890006514 Enrollment ID: I20150623000604 |
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