| Kumara S Peddamatham, MD | |
| 
					1601 Main St, Ste 401, Richmond, TX 77469-3244  | |
| (281) 342-9530 | |
| (281) 342-9564 | 
| Full Name | Kumara S Peddamatham | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 1601 Main St, Richmond, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659377547 | NPI | - | NPPES | 
| 098552503 | Medicaid | TX | |
| 00G84F | Other | TX | BCBS | 
| 098552501 | Medicaid | TX | |
| 8CM672 | Other | TX | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G4378 (Texas) | Primary | 
| Entity Name | Texas Digestive Disease Consultants, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kumara S Peddamatham, MD 1601 Main St, Ste 401, Richmond, TX 77469-3244 Ph: (713) 459-4326  | Kumara S Peddamatham, MD 1601 Main St, Ste 401, Richmond, TX 77469-3244 Ph: (281) 342-9530  | 
Dr. Rajat S. Bhatt, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7103 S Peek Rd Ste 220, Richmond, TX 77407 Phone: 281-884-9705 Fax: 888-844-2976  | |
Dr. Hoang M Phan, M.D. Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 20110 Stoneview Dr, Richmond, TX 77407 Phone: 832-798-7326  | |
Maya Susan Varkey, NP Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8119 Cheyenne Hills Trl, Richmond, TX 77406 Phone: 773-430-5838  | |
Nitesh Vachhani, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1601 Main St Ste 401, Richmond, TX 77469 Phone: 281-342-9530 Fax: 281-342-9564  | |
Dr. Aisha B Khattak, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8002 Fm 1464 Rd Ste 300, Richmond, TX 77407 Phone: 832-400-2733 Fax: 832-400-2734  | |
Dr. James R. Mcclamroch, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 22001 Southwest Fwy, Suite 210, Richmond, TX 77469 Phone: 281-238-7825  | |
Dr. Long Bao Cao, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1601 Main St Ste 105, Richmond, TX 77469 Phone: 281-633-4925 Fax: 281-633-4929  |