| Jefferson Physician Services, PLLC | |
|
2830 Calder St Beaumont TX 77702-1809 | |
| (409) 892-7171 | |
| Not Available |
| Full Name | Jefferson Physician Services, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2830 Calder St, Beaumont, Texas |
| Authorized Official Name and Position | Carlos Ramirez (OWNER/PRESIDENT) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Physician Services, PLLC 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Jefferson Physician Services, PLLC 2830 Calder St Beaumont TX 77702-1809 Ph: (409) 892-7171 |
| NPI Number | 1598546764 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 02/04/2026 |
| Certification Date | 02/04/2026 |
| Medicare PECOS PAC ID | 0547610677 |
|---|---|
| Medicare Enrollment ID | O20240102001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598546764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208M00000X | Hospitalist | () | Secondary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Karen Latrice Lazard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801824602 PECOS PAC ID: 3072563915 Enrollment ID: I20050127000763 |
| Provider Name | Sunil Movva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790714053 PECOS PAC ID: 8729084892 Enrollment ID: I20061012000308 |
| Provider Name | Maria C Leal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811178957 PECOS PAC ID: 3375623226 Enrollment ID: I20080103000755 |
| Provider Name | Mark R Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427055102 PECOS PAC ID: 8729163233 Enrollment ID: I20080307000499 |
| Provider Name | Aroon Kalakunja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801857636 PECOS PAC ID: 2961491188 Enrollment ID: I20090707000612 |
| Provider Name | Chinwe J Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184869950 PECOS PAC ID: 3476686486 Enrollment ID: I20100728000161 |
| Provider Name | Damodharan Vaidyanathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376753087 PECOS PAC ID: 7719040278 Enrollment ID: I20100802000849 |
| Provider Name | Olayiwola Salmon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457585739 PECOS PAC ID: 7012062029 Enrollment ID: I20101124000352 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20101220000503 |
| Provider Name | Edward Chieke Nwanegbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891955944 PECOS PAC ID: 6002931227 Enrollment ID: I20120713000563 |
| Provider Name | Anju Varanasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407070162 PECOS PAC ID: 3971603622 Enrollment ID: I20121023000803 |
| Provider Name | Justin L Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619221934 PECOS PAC ID: 0547408668 Enrollment ID: I20130601000011 |
| Provider Name | Rosemary Eseh Logue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013237296 PECOS PAC ID: 8426290032 Enrollment ID: I20130812000307 |
| Provider Name | Aaron Patrick Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013954320 PECOS PAC ID: 2668440918 Enrollment ID: I20140125000112 |
| Provider Name | Lynn Crocker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558357947 PECOS PAC ID: 3577548791 Enrollment ID: I20140306000430 |
| Provider Name | Queen a Idowu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780946608 PECOS PAC ID: 6800043084 Enrollment ID: I20140507001152 |
| Provider Name | Fahad Khateeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285861401 PECOS PAC ID: 2163670415 Enrollment ID: I20141013000281 |
| Provider Name | Chioma Enyeribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700192275 PECOS PAC ID: 9032398227 Enrollment ID: I20141212000194 |
| Provider Name | Edna Wong Mckinstry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295997211 PECOS PAC ID: 0547431447 Enrollment ID: I20150317002125 |
| Provider Name | Khris Randy Ramdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861652471 PECOS PAC ID: 2668628793 Enrollment ID: I20150604000079 |
| Provider Name | Idelle Taye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770991648 PECOS PAC ID: 6709188725 Enrollment ID: I20160630001907 |
| Provider Name | Michael E Sonier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912341579 PECOS PAC ID: 1850534173 Enrollment ID: I20161017000531 |
| Provider Name | Folashade Bernard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669817136 PECOS PAC ID: 6608178652 Enrollment ID: I20161114001742 |
| Provider Name | Olatunji S Olaoye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20170201000371 |
| Provider Name | Jessica Elaine Drane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912443193 PECOS PAC ID: 1850674573 Enrollment ID: I20170203000463 |
| Provider Name | Sandra Tarapasade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326461021 PECOS PAC ID: 9931482452 Enrollment ID: I20170208000223 |
| Provider Name | Joseph Arnold Baidoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164798534 PECOS PAC ID: 3072777838 Enrollment ID: I20170209002101 |
| Provider Name | Lydia L Bundick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316483092 PECOS PAC ID: 7911281795 Enrollment ID: I20170222001115 |
| Provider Name | Belinda G Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356709810 PECOS PAC ID: 7416231774 Enrollment ID: I20170306000205 |
| Provider Name | Ashley M Humphreys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700313210 PECOS PAC ID: 3870863509 Enrollment ID: I20170727003372 |
| Provider Name | Ruchita Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083034771 PECOS PAC ID: 1557683174 Enrollment ID: I20171010000972 |
| Provider Name | Chuang Xu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134540024 PECOS PAC ID: 7810276227 Enrollment ID: I20180122001711 |
| Provider Name | Herman Toliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841481041 PECOS PAC ID: 3971756271 Enrollment ID: I20180208002735 |
| Provider Name | Il-ran Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346528593 PECOS PAC ID: 7911223912 Enrollment ID: I20180420001091 |
| Provider Name | Ashley Hunt Falkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356781538 PECOS PAC ID: 8123259892 Enrollment ID: I20180420001930 |
| Provider Name | Danial Arshad Soleja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770970451 PECOS PAC ID: 6002163631 Enrollment ID: I20180727000341 |
| Provider Name | Juliet Chinwe Nwokedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235394198 PECOS PAC ID: 3173801487 Enrollment ID: I20180905003510 |
| Provider Name | Raman Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629464680 PECOS PAC ID: 0648524546 Enrollment ID: I20181113000374 |
| Provider Name | Josef Atta Chemtob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376562132 PECOS PAC ID: 6002813938 Enrollment ID: I20181206000642 |
| Provider Name | Lokesh Mahendrakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043549850 PECOS PAC ID: 5890933436 Enrollment ID: I20190108002932 |
| Provider Name | Sheriffdeen Olalekan Ilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184910382 PECOS PAC ID: 6305088766 Enrollment ID: I20190206002702 |
| Provider Name | Ranadhir R Beereddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508164096 PECOS PAC ID: 0840426300 Enrollment ID: I20190213000359 |
| Provider Name | Henykumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851754550 PECOS PAC ID: 4587901921 Enrollment ID: I20190723003784 |
| Provider Name | Hesham Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174973937 PECOS PAC ID: 8123450038 Enrollment ID: I20191114002299 |
| Provider Name | Maliha Mobeen Beg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790171643 PECOS PAC ID: 2668778929 Enrollment ID: I20200123000456 |
| Provider Name | Onyinye Ugboaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801158167 PECOS PAC ID: 3971738121 Enrollment ID: I20200220002752 |
| Provider Name | Rama Krishna Reddy Mukkara Siva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689993297 PECOS PAC ID: 5395987705 Enrollment ID: I20200421000251 |
| Provider Name | Samreen Khuwaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033640909 PECOS PAC ID: 8820342140 Enrollment ID: I20200727000754 |
| Provider Name | Patrick Igharosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336675032 PECOS PAC ID: 3678818663 Enrollment ID: I20200813003640 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20210112000942 |
| Provider Name | Joshua Sifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629425913 PECOS PAC ID: 7517251861 Enrollment ID: I20210217002681 |
| Provider Name | Anna M Gulik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801067590 PECOS PAC ID: 7416015250 Enrollment ID: I20210218000555 |
| Provider Name | Jonathan Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881198067 PECOS PAC ID: 4688921869 Enrollment ID: I20210623004020 |
| Provider Name | Ankur Pradhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043708407 PECOS PAC ID: 8426303827 Enrollment ID: I20210721003370 |
| Provider Name | Akaolisa Eziokwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265884100 PECOS PAC ID: 0547553570 Enrollment ID: I20210819002211 |
| Provider Name | Daniel Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114493756 PECOS PAC ID: 1355686007 Enrollment ID: I20210921000574 |
| Provider Name | Vivian Ekechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518457662 PECOS PAC ID: 5193127744 Enrollment ID: I20211007000695 |
| Provider Name | Ifeyemi O Odeyemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568628246 PECOS PAC ID: 0244354124 Enrollment ID: I20211014001343 |
| Provider Name | Lenita Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477948636 PECOS PAC ID: 0648599647 Enrollment ID: I20220203001218 |
| Provider Name | Purav Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902338742 PECOS PAC ID: 7719224104 Enrollment ID: I20220209002405 |
| Provider Name | Nicholas Latuso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386006294 PECOS PAC ID: 6002191517 Enrollment ID: I20220324000661 |
| Provider Name | Akachi C Azubuike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467867762 PECOS PAC ID: 0941511471 Enrollment ID: I20220520001524 |
| Provider Name | Mohammed Abbas Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104321082 PECOS PAC ID: 7810394343 Enrollment ID: I20220524000169 |
| Provider Name | Rama Krishna Yalamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487064895 PECOS PAC ID: 8426350976 Enrollment ID: I20220613003088 |
| Provider Name | Ernai Hernandez Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184115347 PECOS PAC ID: 4486046000 Enrollment ID: I20220706001296 |
| Provider Name | Brandon Frett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154765618 PECOS PAC ID: 2163700212 Enrollment ID: I20220726000228 |
| Provider Name | Soumaila Camara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356636476 PECOS PAC ID: 5991188492 Enrollment ID: I20220816002961 |
| Provider Name | Linda Chioma Ekwealor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205399631 PECOS PAC ID: 4688917313 Enrollment ID: I20220926001894 |
| Provider Name | Rickey James Morazzano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376153932 PECOS PAC ID: 7416323449 Enrollment ID: I20221017002006 |
| Provider Name | Kashif Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20230324001016 |
| Provider Name | Adham F Abdulamir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730677907 PECOS PAC ID: 7012247349 Enrollment ID: I20230403002765 |
| Provider Name | Muhammad Junaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629428826 PECOS PAC ID: 6305197674 Enrollment ID: I20230718003693 |
| Provider Name | Amir Habibollah Ausef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528046315 PECOS PAC ID: 3870517758 Enrollment ID: I20230814002096 |
| Provider Name | Surabh Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639602535 PECOS PAC ID: 1355615188 Enrollment ID: I20230824002982 |
| Provider Name | Chan Myae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932717121 PECOS PAC ID: 3375961311 Enrollment ID: I20230828003952 |
| Provider Name | Byron Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20230907002146 |
| Provider Name | Thomas Kazecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447677810 PECOS PAC ID: 2365744869 Enrollment ID: I20230913001924 |
| Provider Name | Justine Elodia Henao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808645 PECOS PAC ID: 2769458561 Enrollment ID: I20230915000386 |
| Provider Name | Angel Rivera Castro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942721766 PECOS PAC ID: 5991128993 Enrollment ID: I20230919000643 |
| Provider Name | Muhammad Asghar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063862795 PECOS PAC ID: 3870860547 Enrollment ID: I20231010000877 |
| Provider Name | Urooj Shahid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780201152 PECOS PAC ID: 4981059755 Enrollment ID: I20231013002204 |
| Provider Name | Qasim Mahboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548642127 PECOS PAC ID: 3678825718 Enrollment ID: I20231025002974 |
| Provider Name | Usha Bangalore Krishnappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821300278 PECOS PAC ID: 8325282213 Enrollment ID: I20231026000810 |
| Provider Name | Sudheer Konduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538727409 PECOS PAC ID: 1254708886 Enrollment ID: I20240219000846 |
| Provider Name | Neelam Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427021435 PECOS PAC ID: 0547274433 Enrollment ID: I20240301003738 |
| Provider Name | Jamil Meloelain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538262076 PECOS PAC ID: 0749206977 Enrollment ID: I20240418004044 |
| Provider Name | Sivagowri Tharmendira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760011647 PECOS PAC ID: 5395169585 Enrollment ID: I20240514001566 |
| Provider Name | Andre Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215461801 PECOS PAC ID: 0244656288 Enrollment ID: I20240910000150 |
| Provider Name | Mohsin Munir Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811574494 PECOS PAC ID: 7214321819 Enrollment ID: I20240926001071 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20241002003398 |
| Provider Name | Keely Elizabeth Fischbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407155666 PECOS PAC ID: 9436375409 Enrollment ID: I20241014000724 |
| Provider Name | Steven Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073765400 PECOS PAC ID: 1557530615 Enrollment ID: I20241106000244 |
| Provider Name | Aun Muhammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285205104 PECOS PAC ID: 8022416098 Enrollment ID: I20241121000290 |
| Provider Name | Charles Thomas Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073345518 PECOS PAC ID: 9638607682 Enrollment ID: I20250104000018 |
| Provider Name | Ibrahim Asghar Abid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922586049 PECOS PAC ID: 2466855747 Enrollment ID: I20250107000094 |
| Provider Name | Adnan S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558865097 PECOS PAC ID: 8628324852 Enrollment ID: I20250407002331 |
| Provider Name | Samar Eldahtoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811638182 PECOS PAC ID: 6103339916 Enrollment ID: I20250703000249 |
| Provider Name | Ahmed Sharaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972245983 PECOS PAC ID: 9537675434 Enrollment ID: I20250718000657 |
| Provider Name | Michael Lysek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20250730003432 |
| Provider Name | Ramanpreet Kaur Maan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154067841 PECOS PAC ID: 9739682113 Enrollment ID: I20250911003046 |
| Provider Name | Srivyshnavi Surapaneni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609364819 PECOS PAC ID: 0749530491 Enrollment ID: I20250916002038 |
| Provider Name | Jane Mutheu Mutisya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447954342 PECOS PAC ID: 2466989215 Enrollment ID: I20250923003324 |
| Provider Name | Desire Ayissi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922449065 PECOS PAC ID: 8224475256 Enrollment ID: I20251124002898 |
| Provider Name | Edwige Nguessan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356125413 PECOS PAC ID: 9739530908 Enrollment ID: I20260507001740 |
| Provider Name | Salman Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598932915 PECOS PAC ID: 9830257567 Enrollment ID: I20260522001141 |
Shama P Quraishi MD PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2342 Dowlen Rd Ste 102, Beaumont, TX 77706 Phone: 409-832-7195 Fax: 409-832-8199 |
Rhg of Texas PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2010 Dowlen Rd, Beaumont, TX 77706 Phone: 615-672-7122 |
Preventive Medicine of Southeast Texas, LLP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5875 N Major Dr, Beaumont, TX 77713 Phone: 409-892-2262 Fax: 409-899-8475 |
Kandaswamy Jayaraj MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3030 North St, #310, Beaumont, TX 77702 Phone: 409-892-2111 Fax: 409-892-2173 |
Daro Health and Wellness Clinic PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6442 Concord Rd, Beaumont, TX 77708 Phone: 409-757-8282 Fax: 409-757-8439 |
Legacy Community Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 Harrison St Ste 320, Beaumont, TX 77702 Phone: 409-899-1360 Fax: 713-523-4897 |