| Shailaja Jamma MD PA | |
|
15200 Southwest Fwy Ste 310 Sugar Land TX 77478-1587 | |
| (713) 234-5872 | |
| (713) 234-5873 |
| Full Name | Shailaja Jamma MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 15200 Southwest Fwy Ste 310, Sugar Land, Texas |
| Authorized Official Name and Position | Shailaja Jamma (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7132345872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shailaja Jamma MD PA 15200 Southwest Fwy Ste 310 Sugar Land TX 77478-3864 Ph: (713) 234-5872 | Shailaja Jamma MD PA 15200 Southwest Fwy Ste 310 Sugar Land TX 77478-1587 Ph: (713) 234-5872 |
| NPI Number | 1609571546 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/26/2023 |
| Medicare PECOS PAC ID | 1658737150 |
|---|---|
| Medicare Enrollment ID | O20230524003713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609571546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Shailaja Jamma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356584908 PECOS PAC ID: 3870637267 Enrollment ID: I20141017001650 |
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