| Ahmad Medical Pc | |
|
755 N 11th St Suite D1001 Beaumont TX 77702-1500 | |
| (409) 924-6975 | |
| (409) 899-8304 |
| Full Name | Ahmad Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 755 N 11th St, Beaumont, Texas |
| Authorized Official Name and Position | Waqar Ahmad (PRESIDENT) |
| Authorized Official Contact | 4092735658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Medical Pc 7465 Prestwick Cir Beaumont TX 77707-5438 Ph: (409) 924-6975 | Ahmad Medical Pc 755 N 11th St Suite D1001 Beaumont TX 77702-1500 Ph: (409) 924-6975 |
| NPI Number | 1720347370 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 02/16/2015 |
| Medicare PECOS PAC ID | 7810143518 |
|---|---|
| Medicare Enrollment ID | O20120813000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720347370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N2363 (Texas) | Primary |
| Provider Name | Melissa S Malley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548439904 PECOS PAC ID: 6608947627 Enrollment ID: I20080619000177 |
| Provider Name | Waqar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215077482 PECOS PAC ID: 0941370159 Enrollment ID: I20090430000250 |
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