Sandeep Kodityal (NPI# 1790820736, PAC ID# 3173622057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1790820736 |
| PAC ID by PECOS | 3173622057 |
| Professional Enrollment ID | I20070618000171 |
| Full Name | Sandeep Kodityal |
| Organization Legal Name | MILLENNIUM PHYSICIANS ASSOCIATION PLLC |
| Address |
18488 Interstate 45 S Shenandoah TX 77384-4118 |
| Phone Number | 2815692100 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 3375515455 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450184 | MEMORIAL HERMANN HOSPITAL SYSTEM |
| 450222 | CONROE REGIONAL MEDICAL CENTER |
| 450862 | ST LUKE'S THE WOODLANDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 18488 Interstate 45 S, Shenandoah, TX 77384-4118 | 2815692100 | MILLENNIUM PHYSICIANS ASSOCIATION PLLC |
| Organization Legal Name | MILLENNIUM PHYSICIANS ASSOCIATION PLLC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Quochung Dinh | Radiation Oncology | Millennium Physicians Association Pllc | 13700 Medical Complex Dr, Tomball, TX 77375-6554 |
| Julie Daniel | Nurse Practitioner | Millennium Physicians Association Pllc | 919 Graham Dr, Suite A, Tomball, TX 77375-3336 |
| Urmeel Hasmukh Patel | Hematology/oncology | Millennium Physicians Association Pllc | 17323 Red Oak Dr, Houston, TX 77090-1243 |
| Mohammad A Ursani | Rheumatology | Millennium Physicians Association Pllc | 22710 Professional Dr, Suite 100, Kingwood, TX 77339-6009 |
| Woondong Jeong | Hematology/oncology | Millennium Physicians Association Pllc | 506 Graham Dr, Suite 120, Tomball, TX 77375-3346 |
| Carmen M Perez Masuelli | Rheumatology | Millennium Physicians Association Pllc | 18488 Interstate 45 S, Shenandoah, TX 77384-4118 |
| Erwin Charles Winkel Iii | Urology | Millennium Physicians Association Pllc | 17070 Red Oak Dr, Suite 200, Houston, TX 77090-2615 |
| Nicole D Ches | Physician Assistant | Millennium Physicians Association Pllc | 22730 Professional Dr, Kingwood, TX 77339-6004 |
| Pierre N Khoury | Hematology/oncology | Millennium Physicians Association Pllc | 213 S College Ave, Cleveland, TX 77327-4503 |
| Hammad N Qureshi | Internal Medicine | Millennium Physicians Association Pllc | 1125 Cypress Station Dr E, Houston, TX 77090-3055 |
| Street Address |
18488 INTERSTATE 45 S |
| City | SHENANDOAH |
| State | TX |
| Zip | 77384-4118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen M Perez Masuelli | Rheumatology | Millennium Physicians Association Pllc | 18488 Interstate 45 S, Shenandoah, TX 77384-4118 |
| Eric P Kleinbaum | Hematology/oncology | Millennium Physicians Association Pllc | 18488 Interstate 45 S, Shenandoah, TX 77384-4118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James H Liu | Otolaryngology | 17450 St Lukes Way, Suite 200, The Woodlands, TX 77384-2002 | |
| Krista E Reyes | Audiologist | Adult and Pediatric Ear, Nose, Throat and Allergy of The Woodlands, Pl | 17450 St Lukes Way, Suite 200, The Woodlands, TX 77384-2002 |
| Alix Williamson | Qualified Audiologist | Marquardt Audiology and Hearing Aids Pllc | 17450 St Lukes Way, Suite 150, The Woodlands, TX 77384-2003 |
| Shital S Patel | Qualified Audiologist | Marquardt Audiology and Hearing Aids Pllc | 17450 St Lukes Way, Suite 150, The Woodlands, TX 77384-2003 |
| Meagan S Guidry | Qualified Audiologist | Marquardt Audiology and Hearing Aids Pllc | 17450 St Lukes Way, Suite 150, The Woodlands, TX 77384-2003 |
| Kimberly Menzie | Optometry | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Bret A Mcaden | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Srikanth Katragadda | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Sujatha Anand | Family Medicine | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Lana Hawayek | Dermatology | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Find all physicians in zip 77384 | |||
| City | SHENANDOAH |
| Zip Code | 77384 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | SHENANDOAH + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Sandeep Kodityal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.