Provider Demographics
NPI:1356584908
Name:JAMMA, SHAILAJA (MD)
Entity type:Individual
Prefix:
First Name:SHAILAJA
Middle Name:
Last Name:JAMMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200 SOUTHWEST FWY STE 310
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3864
Mailing Address - Country:US
Mailing Address - Phone:713-234-5872
Mailing Address - Fax:713-234-5873
Practice Address - Street 1:15200 SOUTHWEST FWY STE 310
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-1587
Practice Address - Country:US
Practice Address - Phone:713-234-5872
Practice Address - Fax:713-234-5873
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1629207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology