| Woodlands Internal Medicine, P.a. | |
|
17198 St Lukes Way Ste 450 The Woodlands TX 77384-8011 | |
| (936) 271-5400 | |
| (936) 271-5402 |
| Full Name | Woodlands Internal Medicine, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 17198 St Lukes Way, The Woodlands, Texas |
| Authorized Official Name and Position | Seshasree Marupudi (OWNER) |
| Authorized Official Contact | 9362715400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands Internal Medicine, P.a. 58 S Fair Manor Cir The Woodlands TX 77382-1086 Ph: (936) 271-5400 | Woodlands Internal Medicine, P.a. 17198 St Lukes Way Ste 450 The Woodlands TX 77384-8011 Ph: (936) 271-5400 |
| NPI Number | 1972855344 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 01/22/2014 |
| Medicare PECOS PAC ID | 2062663834 |
|---|---|
| Medicare Enrollment ID | O20121105000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972855344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M7405 (Texas) | Primary |
| Provider Name | Seshasree Marupudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992998645 PECOS PAC ID: 0547342438 Enrollment ID: I20080131000114 |
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