MERIDIAN PRIMARY CARE PLLC (NPI# 1184289613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184289613 |
| Entity Type | Organization |
| Organization Name | MERIDIAN PRIMARY CARE PLLC |
| Practice Address |
5430 Abington Creek Ln Sugar Land TX 77479-4382 |
| Mailing Address |
Po Box 16008 Sugar Land TX 77496-6008 |
| Practice Telephone | 5104637717 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | SUBHA RAJITHA DOMMARAJU (OWNER) |
| Authorized Official Telephone | 5104637717 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4600 E Sam Houston Pkwy S, Pasadena, TX 775053948 | 7135181628 |
| Street Address |
5430 ABINGTON CREEK LN |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-4382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558925032 | Amber Kazi Md Pllc | Family Medicine | 17228 W Grand Pkwy S Ste 2010, Sugar Land, TX 77479-3688 | 2019-04-30 |
| 1750945382 | Amber Kazi Md Pllc | Family Medicine | 17228 W Grand Pkwy S Ste 2020, Sugar Land, TX 77479-3688 | 2019-04-29 |
| 1265911606 | T & Z Health Solutions Pllc | Family Medicine | 7611 Calley Path, Sugar Land, TX 77479-2722 | 2018-08-07 |
| 1508365396 | Tran-vo, P.l.l.c. | Family Medicine | 1327 Lake Pointe Pkwy Ste 320, Sugar Land, TX 77478 | 2018-02-07 |
| 1124473368 | Quntao Yu, Md, Pa | Family Medicine | 4427 Highway 6 Ste J, Sugar Land, TX 77478-4516 | 2016-04-25 |
| 1306208319 | Lily Mei-ling Yang | Family Medicine | 1429 Highway 6 Ste 207, Sugar Land, TX 77478-5135 | 2016-03-28 |
| 1992182398 | Daniel A. Nwachokor | Family Medicine | 17510 W Grand Pkwy S Ste 380, Sugar Land, TX 77479 | 2015-05-05 |
| 1770996571 | Andrea Elizabeth Lee | Family Medicine | 17520 W Grand Pkwy S Ste 110, Sugar Land, TX 77479-4759 | 2014-06-09 |
| 1902244452 | Gumaro Granados Jr. | Family Medicine | 1429 Highway 6 Ste 203, Sugar Land, TX 77478-5135 | 2013-06-06 |
| 1902191240 | Edith Fatima Akintokunbo | Family Medicine | 138 Eldridge Rd Ste E, Sugar Land, TX 77478-4083 | 2011-06-15 |
| Find all providers in SUGAR LAND | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.