Organization
NASSAU BAY PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAMMA ELIZABETH KALIA MD (PRESIDENT)
(281) 212-2400
Entity
Organization
Contact information
Practice address
150 E MEDICAL CENTER BLVD, SUITE C, WEBSTER, TX 77598-4301
(281) 212-2400
(281) 212-2499
Mailing address
150 E MEDICAL CENTER BLVD, SUITE C, WEBSTER, TX 77598-4301
(281) 212-2400
(281) 212-2499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155278801
—
TX
01
—
155278802
THSTEPS
TX
Enumeration date
05/26/2006
Last updated
04/02/2009
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