| Jay K Patolia, MD | |
|
5001 Bissonnet St Ste 200, Bellaire, TX 77401-4023 | |
| (281) 701-5457 | |
| Not Available |
| Full Name | Jay K Patolia |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 5001 Bissonnet St Ste 200, Bellaire, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174020150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | T9211 (Texas) | Primary |
| Entity Name | Innovative Allergy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427541101 PECOS PAC ID: 8426303041 Enrollment ID: O20180621001529 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay K Patolia, MD 5147 Maumee River Drive, Sugarland, TX 77479 Ph: (281) 222-4293 | Jay K Patolia, MD 5001 Bissonnet St Ste 200, Bellaire, TX 77401-4023 Ph: (281) 701-5457 |
Dat Quoc Tran, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 5001 Bissonnet St Ste 200, Bellaire, TX 77401 Phone: 281-701-5457 Fax: 281-605-6815 | |
Venugopal K. Menon, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 4710 Bellaire Blvd, Ste 200, Bellaire, TX 77401 Phone: 713-661-1444 Fax: 713-661-6604 | |
Theresa C. Queng, M.D.,M.P.H. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 4710 Bellaire Blvd, Ste 200, Bellaire, TX 77401 Phone: 713-661-1444 Fax: 713-661-6604 | |
Lyna K. Lee, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4710 Bellaire Blvd, Ste 200, Bellaire, TX 77401 Phone: 713-661-1444 Fax: 713-661-6604 | |
Serge De Golovine, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4710 Bellaire Blvd, Ste 200, Bellaire, TX 77401 Phone: 713-661-1444 Fax: 713-661-6604 | |
Wai-tim Chew, Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 5001 Bissonnet St Ste 200, Bellaire, TX 77401 Phone: 281-701-5457 Fax: 866-493-3681 |