| Dr Supratik Kumar Moulik, MD | |
|
1706 Pebblestone Ct, Missouri City, TX 77459-1617 | |
| (512) 680-7346 | |
| Not Available |
| Full Name | Dr Supratik Kumar Moulik |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 1706 Pebblestone Ct, Missouri City, 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 |
|---|---|---|---|
| 1245454693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD438343 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hermann Memorial City Hospital | Houston, TX | Hospital |
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| Memorial Hermann Sugar Land Hospital | Sugar land, TX | Hospital |
| Memorial Hermann Northeast Hospital | Humble, TX | Hospital |
| Corpus Christi Medical Center,the | Corpus christi, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Singleton Associates Pa | 6305731118 | 635 |
| Eagle Partners Pllc | 9032205752 | 115 |
| Eagle Partners Pllc | 9032205752 | 115 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | Synergy Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902802986 PECOS PAC ID: 7719877737 Enrollment ID: O20040316000131 |
| Entity Name | Community Radiology Associates P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174573273 PECOS PAC ID: 9436132529 Enrollment ID: O20040610000177 |
| Entity Name | Eagle Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20121031000252 |
| Entity Name | Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730366832 PECOS PAC ID: 2466494646 Enrollment ID: O20151019000586 |
| Entity Name | Tpg Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194902296 PECOS PAC ID: 8729990544 Enrollment ID: O20151024000136 |
| Entity Name | Coastal Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144270307 PECOS PAC ID: 8224002696 Enrollment ID: O20171009001423 |
| Entity Name | Imaging Associates Of New Mexico Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629592464 PECOS PAC ID: 4981970233 Enrollment ID: O20180123000872 |
| Entity Name | Greensboro Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20200803002210 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200821002956 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Supratik Kumar Moulik, MD 1706 Pebblestone Ct, Missouri City, TX 77459-1617 Ph: (512) 680-7346 | Dr Supratik Kumar Moulik, MD 1706 Pebblestone Ct, Missouri City, TX 77459-1617 Ph: (512) 680-7346 |
Timothy B Galang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3640 Hampton Dr, Missouri City, TX 77459 Phone: 713-806-1855 Fax: 888-889-2522 |