| Innovahealth Primary Care, Pllc | |
|
4102 Woodlawn Ave Ste 210 Pasadena TX 77504-1949 | |
| (832) 240-1189 | |
| (832) 280-5025 |
| Full Name | Innovahealth Primary Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4102 Woodlawn Ave Ste 210, Pasadena, Texas |
| Authorized Official Name and Position | Ashkan Michael Zand (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8322401189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovahealth Primary Care, Pllc 6443 Fairmont Parkway, Ste 140 Pmb 276 Pasadena TX 77505 Ph: (832) 240-1189 | Innovahealth Primary Care, Pllc 4102 Woodlawn Ave Ste 210 Pasadena TX 77504-1949 Ph: (832) 240-1189 |
| NPI Number | 1750193223 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 11/27/2025 |
| Medicare PECOS PAC ID | 5991224669 |
|---|---|
| Medicare Enrollment ID | O20250527000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750193223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen Koch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750325601 PECOS PAC ID: 3577547975 Enrollment ID: I20130827000884 |
| Provider Name | Cecil A Cherian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396970950 PECOS PAC ID: 1254588627 Enrollment ID: I20161205001226 |
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