| Pearland Neurology Services, Pllc | |
|
11914 Astoria Blvd Ste 400 Houston TX 77089-6049 | |
| (281) 481-4236 | |
| (281) 481-0448 |
| Full Name | Pearland Neurology Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11914 Astoria Blvd Ste 400, Houston, Texas |
| Authorized Official Name and Position | Shahbuddin Mukardamwala (PHYSICIAN) |
| Authorized Official Contact | 2814814236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearland Neurology Services, Pllc 9923 Walker Meadow Way Houston TX 77089-1559 Ph: (646) 944-3784 | Pearland Neurology Services, Pllc 11914 Astoria Blvd Ste 400 Houston TX 77089-6049 Ph: (281) 481-4236 |
| NPI Number | 1013535020 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Medicare PECOS PAC ID | 6103241286 |
|---|---|
| Medicare Enrollment ID | O20200806001373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013535020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Steven S Goldstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992730600 PECOS PAC ID: 2062606924 Enrollment ID: I20101104000677 |
| Provider Name | Shahbuddin Husain Mukardamwala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477717320 PECOS PAC ID: 3173758661 Enrollment ID: I20131111000308 |
| Provider Name | Lalitha N Guthikonda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740473305 PECOS PAC ID: 7214166180 Enrollment ID: I20140219000702 |
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