| Kpmd PA | |
|
34 Ruby Blossom Ct Tomball TX 77377-2957 | |
| (832) 899-4557 | |
| Not Available |
| Full Name | Kpmd PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 34 Ruby Blossom Ct, Tomball, Texas |
| Authorized Official Name and Position | Ketul Patel (OWNER) |
| Authorized Official Contact | 9176536526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kpmd PA 34 Ruby Blossom Ct Tomball TX 77377-2957 Ph: (917) 653-6526 | Kpmd PA 34 Ruby Blossom Ct Tomball TX 77377-2957 Ph: (832) 899-4557 |
| NPI Number | 1700763570 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Medicare PECOS PAC ID | 5597255018 |
|---|---|
| Medicare Enrollment ID | O20251104002179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700763570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ketul R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295832020 PECOS PAC ID: 6204838709 Enrollment ID: I20101020000449 |
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