| Mr Khaja Moinuddeen, MD | |
|
4911 Sandhill Dr, Sugar Land, TX 77479-5320 | |
| (281) 238-7870 | |
| (281) 633-4985 |
| Full Name | Mr Khaja Moinuddeen |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 37 Years |
| Location | 4911 Sandhill Dr, Sugar Land, 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 |
|---|---|---|---|
| 1154300903 | NPI | - | NPPES |
| 299860102 | Medicaid | TX | |
| 3810001306 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 21707 (West Virginia) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | N0286 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Houston Healthcare Southeast | Pasadena, TX | Hospital |
| Hca Houston Healthcare Clear Lake | Webster, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Surgical Specialists Of Clear Lake Pllc | 6103904461 | 8 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Oakbend Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366480725 PECOS PAC ID: 7517917867 Enrollment ID: O20050125000741 |
| Entity Name | Surgical Specialists Of Clear Lake Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720263221 PECOS PAC ID: 6103904461 Enrollment ID: O20080428000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Khaja Moinuddeen, MD 4911 Sandhill Dr, Sugar Land, TX 77479-5320 Ph: (281) 238-7870 | Mr Khaja Moinuddeen, MD 4911 Sandhill Dr, Sugar Land, TX 77479-5320 Ph: (281) 238-7870 |
Uttam Tripathy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 16605 Southwest Fwy, Suite 575 Mob 3, Sugar Land, TX 77479 Phone: 281-232-1908 Fax: 281-232-1914 |