| Sonal A Divecha, DO | |
|
205 E Medical Center Blvd, Webster, TX 77598-4376 | |
| (281) 480-7832 | |
| (281) 480-7504 |
| Full Name | Sonal A Divecha |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 205 E Medical Center Blvd, Webster, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023063427 | NPI | - | NPPES |
| 181324804 | Medicaid | TX | |
| 181324801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M3521 (Texas) | Primary |
| Entity Name | Memorial Hermann Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003985102 PECOS PAC ID: 7012008360 Enrollment ID: O20070801000368 |
| Entity Name | Memorial Hermann Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730821208 PECOS PAC ID: 4880071679 Enrollment ID: O20220517001605 |
| Mailing Address | Practice Location Address |
|---|---|
| Sonal A Divecha, DO 205 E Medical Center Blvd, Webster, TX 77598-4376 Ph: (281) 480-7832 | Sonal A Divecha, DO 205 E Medical Center Blvd, Webster, TX 77598-4376 Ph: (281) 480-7832 |
Melanie Suzanne Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 S Ponds Dr, Webster, TX 77598 Phone: 713-442-4300 | |
Candace P Siegel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 S Ponds Dr, Webster, TX 77598 Phone: 713-442-4300 | |
Dr. Lekshmi Daram, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 S Ponds Dr, Webster, TX 77598 Phone: 713-442-4300 | |
Dr. Avolonne Morgan Kimble, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 333 N Texas Ave Ste 4300, Webster, TX 77598 Phone: 281-338-5437 Fax: 281-338-9543 | |
Ragini Miryala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 205 E Medical Center Blvd, Ste B, Webster, TX 77598 Phone: 281-480-7832 Fax: 281-480-7504 | |
Gwendolyn A Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 S Ponds Dr, Webster, TX 77598 Phone: 713-442-4300 |