| Hanifa Healthcare Pc | |
|
6913 Camp Bowie Blvd Ste 171 Fort Worth TX 76116-7165 | |
| (817) 731-6121 | |
| Not Available |
| Full Name | Hanifa Healthcare Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6913 Camp Bowie Blvd Ste 171, Fort Worth, Texas |
| Authorized Official Name and Position | Shakil Tukdi (MD/OWNER) |
| Authorized Official Contact | 4696611300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanifa Healthcare Pc Po Box 250447 Plano TX 75025-0447 Ph: (469) 661-1300 | Hanifa Healthcare Pc 6913 Camp Bowie Blvd Ste 171 Fort Worth TX 76116-7165 Ph: (817) 731-6121 |
| NPI Number | 1427629450 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Medicare PECOS PAC ID | 4284037466 |
|---|---|
| Medicare Enrollment ID | O20210726002133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427629450 | NPI | - | NPPES |
| 1215982723 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Shakil A Tukdi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215982723 PECOS PAC ID: 6204816747 Enrollment ID: I20040723000909 |
| Provider Name | Deborah F Oyegoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578015491 PECOS PAC ID: 4284666306 Enrollment ID: I20161114000127 |
| Provider Name | Joy O Ichie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972054450 PECOS PAC ID: 9032490586 Enrollment ID: I20161221001838 |
| Provider Name | Roselyn Kwenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740454354 PECOS PAC ID: 9931483153 Enrollment ID: I20170307000161 |
| Provider Name | Myra Chizo Gaius-anyaegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477065464 PECOS PAC ID: 0042560971 Enrollment ID: I20180913002040 |
| Provider Name | Etido James Udosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083200208 PECOS PAC ID: 8820497688 Enrollment ID: I20210527000329 |
| Provider Name | Ronke Arogundade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609499821 PECOS PAC ID: 0749675965 Enrollment ID: I20220324001418 |
| Provider Name | Rodah B Symekah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700554920 PECOS PAC ID: 0244626638 Enrollment ID: I20220412002142 |
| Provider Name | Patience N Nyindem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588301402 PECOS PAC ID: 3274911623 Enrollment ID: I20220526000630 |
| Provider Name | Linda L Openshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013123017 PECOS PAC ID: 3173992294 Enrollment ID: I20221213001412 |
| Provider Name | Charity W Kinyua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396491643 PECOS PAC ID: 9234594037 Enrollment ID: I20230501001883 |
| Provider Name | Neelofar Lalani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790097988 PECOS PAC ID: 8628309135 Enrollment ID: I20230608000096 |
| Provider Name | Hellen Maturi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134839418 PECOS PAC ID: 6800253469 Enrollment ID: I20230613002159 |
| Provider Name | Andrew M Mclane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013423227 PECOS PAC ID: 3971994336 Enrollment ID: I20231222000622 |
| Provider Name | Ted Zebaze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548740889 PECOS PAC ID: 4284076878 Enrollment ID: I20240529000037 |
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