Southeast Medical Group, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHEAST MEDICAL GROUP, PA

Practice address

11914 Astoria Blvd
Suite 185
Houston, TX 77089-6064

Phone

(281) 481-8878

Fax

(281) 922-7979

NPI assigned

Aug 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maqsood Javed, M.D.

Title

Owner

Phone

(281) 922-7377

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamil A Memon, M.D.

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1790730430
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679682355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD",
            "address_2": "SUITE 185",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD",
            "address_2": "SUITE 185",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896064",
            "telephone_number": "281-481-8878",
            "fax_number": "281-922-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "MAQSOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-922-7377",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Eye Associates, PA
• Southeast HCS Inc
• Southeast Injury Clinic
• Southeast Injury Clinic
• Southeast Injury Clinic
• Southeast Nocturnists LLC
• Southeast North Carolina Seven Medical Group, PLLC
• Southeast Residential Rehab LLC
• Southeast Six Medical Group, PLLC
• Southeast Spine and Rehab

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.