| Vida Amin, MD | |
|
7120 Boulevard 26, Richland Hills, TX 76180-8608 | |
| (817) 347-8025 | |
| (817) 347-8001 |
| Full Name | Vida Amin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 7120 Boulevard 26, Richland Hills, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811956956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M1467 (Texas) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Amin, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Vida Amin, MD 7120 Boulevard 26, Richland Hills, TX 76180-8608 Ph: (817) 347-8025 |
Kalaimani Subramanian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7290 Glenview Dr, Richland Hills, TX 76180 Phone: 817-595-9944 Fax: 817-589-1643 | |
Dr. Sandy Samuel Varghese, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7120 Boulevard 26, Richland Hills, TX 76180 Phone: 817-347-8025 Fax: 817-347-8001 | |
Smita S Ranade, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7120 Boulevard 26, Richland Hills, TX 76180 Phone: 817-347-8025 | |
Mr. Alejandro Adolfo Jaramillo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7120 Boulevard 26, Richland Hills, TX 76180 Phone: 817-347-8025 Fax: 817-347-8001 |