| Kandaswamy Jayaraj Md Pa | |
|
3030 North St #310 Beaumont TX 77702-1433 | |
| (409) 892-2111 | |
| (409) 892-2173 |
| Full Name | Kandaswamy Jayaraj Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3030 North St, Beaumont, Texas |
| Authorized Official Name and Position | Kandaswamy Jayaraj (OWNER) |
| Authorized Official Contact | 4098922111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kandaswamy Jayaraj Md Pa Po Box 12499 3030 N St #310 Beaumont TX 77726-2499 Ph: (409) 892-2111 | Kandaswamy Jayaraj Md Pa 3030 North St #310 Beaumont TX 77702-1433 Ph: (409) 892-2111 |
| NPI Number | 1043218514 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 11/05/2007 |
| Medicare PECOS PAC ID | 5799746079 |
|---|---|
| Medicare Enrollment ID | O20041020000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043218514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | L6963 (Texas) | Primary |
| Provider Name | Kandaswamy Jayaraj |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447258850 PECOS PAC ID: 1557322831 Enrollment ID: I20041021000159 |
| Provider Name | Jennifer L East |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871678268 PECOS PAC ID: 3779644117 Enrollment ID: I20081204000209 |
| Provider Name | Stacie L Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598202962 PECOS PAC ID: 8325325236 Enrollment ID: I20170502002104 |
| Provider Name | Karli Kay Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871027847 PECOS PAC ID: 1456619949 Enrollment ID: I20180209000445 |
| Provider Name | Michaela J Sossamon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215550686 PECOS PAC ID: 0143641605 Enrollment ID: I20200609001818 |
| Provider Name | Andrea D Yancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366080376 PECOS PAC ID: 1658709639 Enrollment ID: I20211007000037 |
| Provider Name | Brittni A James |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932811379 PECOS PAC ID: 0244605301 Enrollment ID: I20230404000916 |
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 | |
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 | |
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 | |
Private Hospital Group Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 College St, Beaumont, TX 77707 Phone: 409-722-1197 | |
Beaumont Spine Pain And Sports Medicince Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5220 Eastex Fwy, Beaumont, TX 77708 Phone: 409-924-8600 | |
Folsom Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6510 Folsom Dr, Beaumont, TX 77706 Phone: 409-832-6545 Fax: 409-832-7494 |