| Infectious Diseases Clinic At Clear Lake Specialties Pllc | |
|
600 N Kobayashi Ste 308 Webster TX 77598-4841 | |
| (281) 724-8336 | |
| (281) 336-1619 |
| Full Name | Infectious Diseases Clinic At Clear Lake Specialties Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 N Kobayashi Ste 308, Webster, Texas |
| Authorized Official Name and Position | Mohammad Baba (OWNER) |
| Authorized Official Contact | 2817241860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Clinic At Clear Lake Specialties Pllc Po Box 58688 Webster TX 77598-8688 Ph: (281) 724-8336 | Infectious Diseases Clinic At Clear Lake Specialties Pllc 600 N Kobayashi Ste 308 Webster TX 77598-4841 Ph: (281) 724-8336 |
| NPI Number | 1144614322 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 2961722947 |
|---|---|
| Medicare Enrollment ID | O20150514000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144614322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Mallika Kamana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215971049 PECOS PAC ID: 8426085556 Enrollment ID: I20050720000955 |
| Provider Name | Vikas Jogi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053406546 PECOS PAC ID: 9436230414 Enrollment ID: I20080116000089 |
| Provider Name | Husam I Issa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821064304 PECOS PAC ID: 0042285249 Enrollment ID: I20090211000257 |
| Provider Name | Michelle Onorato |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417991795 PECOS PAC ID: 8325146228 Enrollment ID: I20100113000623 |
| Provider Name | Madiha Ashraf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790936144 PECOS PAC ID: 3072760172 Enrollment ID: I20120824000274 |
| Provider Name | Farheen Tariq |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083674485 PECOS PAC ID: 1951330836 Enrollment ID: I20130501000169 |
| Provider Name | Bacel Nseir |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265616858 PECOS PAC ID: 9830220789 Enrollment ID: I20141023001684 |
| Provider Name | Johnnie Lynn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679192751 PECOS PAC ID: 5395176325 Enrollment ID: I20200507001343 |
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