CHARLES G. PHAN, M.D. GASTROINTESTINAL & LIVER DISEASE CONSULTANTS, (NPI# 1912189796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912189796 |
| Entity Type | Organization |
| Organization Name | CHARLES G. PHAN, M.D. GASTROINTESTINAL & LIVER DISEASE CONSULTANTS, |
| Practice Address |
16659 Southwest Freeway Suite #175 Sugar Land TX 77479-2351 |
| Practice Telephone | 2812772213 |
| Practice Fax Number | 2812770192 |
| Mailing Telephone | 2812772213 |
| Mailing Fax Number | 2812770192 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | MRS. TRINH NGOCMY NGUYEN (OFFICE MANAGER) |
| Authorized Official Telephone | 2812772213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
L6141 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 159789001 | 05 | |
| TX | BLUE CROSS BLUESHIELD | 0080JV | 01 |
| Street Address |
16659 SOUTHWEST FREEWAY SUITE #175 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619074721 | Barkat Ali Fazal | Internal Medicine | 16659 Southwest Freeway, Mob 2, Suite 371, Sugar Land, TX 77479 | 2006-09-20 |
| 1942569363 | Elizabeth Lea Mosier | Obstetrics & Gynecology | 16659 Southwest Freeway, Mob 2, Suite 235, Sugar Land, TX 77479 | 2012-05-04 |
| 1194870345 | Nadeem Qurashi, M.d., P.a. | Internal Medicine | 16659 Southwest Freeway, Suite # 205, Sugar Land, TX 77479 | 2007-01-25 |
| 1033290168 | Nadeem Qurashi | Internal Medicine | 16659 Southwest Freeway, Suite 205, Sugar Land, TX 77479 | 2006-10-17 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821594052 | Tanmayi Gaikwad | Internal Medicine | 16651 Southwest Fwy Ste 370, Sugar Land, TX 77479-2348 | 2018-04-05 |
| 1679826929 | Adeeb Jay Dwairy | Internal Medicine | 15555 Creek Bend Dr., Suite 200, Sugar Land, TX 77478 | 2012-10-24 |
| 1265787360 | Pragnesh Jitendrabhai Patel | Internal Medicine | 15555 Creek Bend Dr Ste 200, Sugar Land, TX 77478 | 2012-07-16 |
| 1699707208 | Venkatesan Ranganathan | Internal Medicine | 54 Stalybridge St, Sugar Land, TX 77479-2958 | 2006-07-06 |
| 1972576346 | Stanley Howard Stein | Internal Medicine | 17510 West Grand Parkway South, Suite 350, Sugar Land, TX 77479-2648 | 2006-02-08 |
| 1326587643 | Dr. Adeeb Associated | Internal Medicine | 2655 Cordes Dr Ste 110, Sugar Land, TX 77479-1461 | 2017-02-20 |
| 1538416839 | Nadim S Jafri Md Pa | Internal Medicine | 16605 Southwest Fwy, Suite 185, Sugar Land, TX 77479-3501 | 2012-08-07 |
| 1235430794 | Shaheryar Ahmed Siddiqui | Internal Medicine | 17520 W Grand Pkwy S Ste 350, Sugar Land, TX 77479 | 2010-11-15 |
| 1194851220 | Stanley H Stein Md Pa | Internal Medicine | 17510 West Grand Parkway South, Suite 350, Sugar Land, TX 77479-2648 | 2007-02-25 |
| 1457303737 | Charles Gia Phan | Internal Medicine | 16659 Southwest Fwy, Suite 175, Sugar Land, TX 77479-2375 | 2006-05-16 |
| Find all providers in SUGAR LAND | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
Please comment or provide details below to improve the information on CHARLES G. PHAN, M.D. GASTROINTESTINAL & LIVER DISEASE CONSULTANTS,.
| 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.