| First Colony Primary Care, P.a. | |
|
1111 Highway 6 Suite 130 Sugar Land TX 77478-4914 | |
| (281) 494-3460 | |
| (281) 494-3463 |
| Full Name | First Colony Primary Care, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 Highway 6, Sugar Land, Texas |
| Authorized Official Name and Position | Sudha N Chittaluru (OWNER) |
| Authorized Official Contact | 8323305225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Colony Primary Care, P.a. 1111 Highway 6 Suite 130 Sugar Land TX 77478-4914 Ph: (281) 494-3460 | First Colony Primary Care, P.a. 1111 Highway 6 Suite 130 Sugar Land TX 77478-4914 Ph: (281) 494-3460 |
| NPI Number | 1356683379 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 03/18/2013 |
| Medicare PECOS PAC ID | 9638317431 |
|---|---|
| Medicare Enrollment ID | O20130606000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356683379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Naga Sudha Chittaluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972560431 PECOS PAC ID: 3375713191 Enrollment ID: I20110902000126 |
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