Ai Medical Associates Pllc | |
2743 Imperia Dr Ste 404 Sugar Land TX 77479-8988 | |
(346) 366-4001 | |
Not Available |
Full Name | Ai Medical Associates Pllc |
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Speciality | Internal Medicine |
Location | 2743 Imperia Dr Ste 404, Sugar Land, Texas |
Authorized Official Name and Position | Imtiaz Ahmed (MEMBER) |
Authorized Official Contact | 3463664001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ai Medical Associates Pllc 2743 Imperia Dr Ste 404 Sugar Land TX 77479-8988 Ph: () - | Ai Medical Associates Pllc 2743 Imperia Dr Ste 404 Sugar Land TX 77479-8988 Ph: (346) 366-4001 |
NPI Number | 1104559467 |
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Provider Enumeration Date | 07/05/2022 |
Last Update Date | 11/09/2022 |
Medicare PECOS PAC ID | 8921482522 |
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Medicare Enrollment ID | O20220831001446 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104559467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Imtiaz Ahmed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215108907 PECOS PAC ID: 1052479946 Enrollment ID: I20161110002302 |
Provider Name | Ancy Samuel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174172944 PECOS PAC ID: 2961823679 Enrollment ID: I20200604003260 |
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