| Dr Samatha Krishna Kadiyala, MD | |
|
506 This Way St, Lake Jackson, TX 77566-5128 | |
| (979) 266-9544 | |
| (979) 529-9737 |
| Full Name | Dr Samatha Krishna Kadiyala |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 25 Years |
| Location | 506 This Way St, Lake Jackson, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003002627 | NPI | - | NPPES |
| 206442001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | N4502 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St. Lukes' Brazosport Hospital | Lake jackson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Gulf Coast Pllc | 4688999022 | 471 |
| Entity Name | Brazosport Womens Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407163116 PECOS PAC ID: 9234318445 Enrollment ID: O20110120000281 |
| Entity Name | Privia Medical Group Gulf Coast Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samatha Krishna Kadiyala, MD 215 Oak Drive South, Suite B, Lake Jackson, TX 77566-5617 Ph: (979) 266-9544 | Dr Samatha Krishna Kadiyala, MD 506 This Way St, Lake Jackson, TX 77566-5128 Ph: (979) 266-9544 |
Ron Paul, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 220 Blackstock Ln, Lake Jackson, TX 77566 Phone: 979-265-6000 | |
Shirley Desousa Lima, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 210 Lake Rd Ste 300, Lake Jackson, TX 77566 Phone: 979-292-0502 Fax: 979-292-0531 |