Humza Shahid Azam, DO | |
1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 | |
(512) 233-4606 | |
Not Available |
Full Name | Humza Shahid Azam |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | 1010 Ranch Road 620 S Ste 107, Lakeway, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740576271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101019538 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Travis Emergency Physicians Pllc | 7315291929 | 8 |
Hill Country Health Pllc | 1951716307 | 2 |
Entity Name | Leading Edge Emergency Physicians, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003165259 PECOS PAC ID: 2466601588 Enrollment ID: O20121005000189 |
Entity Name | Century Integrated Partners, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
Entity Name | Cec Lakeway Urgent Care Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285088161 PECOS PAC ID: 8123318169 Enrollment ID: O20160603001598 |
Entity Name | Cec Lakeway Er Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962851964 PECOS PAC ID: 6608145172 Enrollment ID: O20170627002458 |
Entity Name | Lakeline Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316426505 PECOS PAC ID: 7214281492 Enrollment ID: O20181107002405 |
Entity Name | Round Rock Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902264963 PECOS PAC ID: 0648524306 Enrollment ID: O20181119001606 |
Entity Name | Lake Travis Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851803688 PECOS PAC ID: 7315291929 Enrollment ID: O20181120000263 |
Entity Name | Georgetown Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679085401 PECOS PAC ID: 9335483676 Enrollment ID: O20181128000055 |
Entity Name | Brushy Creek Emergency Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235773151 PECOS PAC ID: 8729483854 Enrollment ID: O20210826003061 |
Mailing Address | Practice Location Address |
---|---|
Humza Shahid Azam, DO 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 665-5755 | Humza Shahid Azam, DO 1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 Ph: (512) 233-4606 |
Dr. Fatima S Hatia, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Ranch Road 620 S, Ste 107, Lakeway, TX 78734 Phone: 512-960-2165 Fax: 512-713-0730 | |
Dan Gozhansky, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Parkway, Lakeway, TX 78734 Phone: 301-346-7594 | |
Dr. Daniel Roe Macalasdair, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1518 Ranch Road 620 S Bldg H, Lakeway, TX 78734 Phone: 512-527-6247 | |
Dr. Steven T. Elsbecker, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5101 |