| Dr Emem Dan Udonta, MD | |
|
2300 Highway 365 Ste 600, Nederland, TX 77627-6258 | |
| (409) 983-2711 | |
| (409) 853-1641 |
| Full Name | Dr Emem Dan Udonta |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 37 Years |
| Location | 2300 Highway 365 Ste 600, Nederland, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851377675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | L3167 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Houston Methodist Hospital | Houston, TX | Hospital |
| Baptist Beaumont Hospital | Beaumont, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Texas Neurology,pa | 2466409362 | 2 |
| Entity Name | Southeast Texas Neurology,pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982828604 PECOS PAC ID: 2466409362 Enrollment ID: O20050404000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emem Dan Udonta, MD 3780 Memorial, Blvd, Port Arthur, TX 77640 Ph: (409) 983-2711 | Dr Emem Dan Udonta, MD 2300 Highway 365 Ste 600, Nederland, TX 77627-6258 Ph: (409) 983-2711 |
Mrs. Anupama Sivakumar, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3318 Highway 365, Nederland, TX 77627 Phone: 409-727-1717 Fax: 409-293-3736 | |
Dr. Victor Fermo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 405 S Memorial Fwy, Nederland, TX 77627 Phone: 409-727-7979 Fax: 409-727-5459 |