Kalyanam Subramanyam (NPI# 1164493870, PAC ID# 3779685888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1164493870 |
| PAC ID by PECOS | 3779685888 |
| Professional Enrollment ID | I20070420000483 |
| Full Name | Kalyanam Subramanyam |
| Organization Legal Name | COASTAL GASTROENTEROLOGY ASSOCIATES PA |
| Address |
1015 Med Ctr Blvd Suite 1300 Webster TX 77598-4055 |
| Phone Number | 2815572527 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1974 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4789686809 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450617 | CLEAR LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1015 Med Ctr Blvd, Suite 1300, Webster, TX 77598-4055 | 2815572527 | COASTAL GASTROENTEROLOGY ASSOCIATES PA |
| Organization Legal Name | COASTAL GASTROENTEROLOGY ASSOCIATES PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana Pham | Nurse Practitioner | Coastal Gastroenterology Associates Pa | 1015 Med Ctr Blvd, Suite 1300, Webster, TX 77598-4055 |
| Advitya Malhotra | Gastroenterology | Coastal Gastroenterology Associates Pa | 1015 Med Ctr Blvd, Suite 1300, Webster, TX 77598-4055 |
| Street Address |
1015 MED CTR BLVD SUITE 1300 |
| City | WEBSTER |
| State | TX |
| Zip | 77598-4055 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana Pham | Nurse Practitioner | Coastal Gastroenterology Associates Pa | 1015 Med Ctr Blvd, Suite 1300, Webster, TX 77598-4055 |
| Advitya Malhotra | Gastroenterology | Coastal Gastroenterology Associates Pa | 1015 Med Ctr Blvd, Suite 1300, Webster, TX 77598-4055 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meena Eswaran | Family Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Mark G Macgregor | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Jason T Wang | Family Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Pamela H Cayer | Physician Assistant | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Tony Trang | Gastroenterology | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Oliver C Wu | Family Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Sara L Meloche | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Li-min Hwang | Obstetrics/gynecology | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Emanuel Nazario-irizarry | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Amita D Patel | Optometry | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Find all physicians in zip 77598 | |||
| City | WEBSTER |
| Zip Code | 77598 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | WEBSTER + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Kalyanam Subramanyam.
| 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.