| Allen Internal Medicine Pllc | |
|
931 State Highway 121 Apt 4300 Allen TX 75013-1193 | |
| (806) 252-1883 | |
| Not Available |
| Full Name | Allen Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 931 State Highway 121 Apt 4300, Allen, Texas |
| Authorized Official Name and Position | Satish Bagdure (MANAGING PARTNER) |
| Authorized Official Contact | 8062521883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Internal Medicine Pllc 931 State Highway 121 Apt 4300 Allen TX 75013-1193 Ph: (806) 252-1883 | Allen Internal Medicine Pllc 931 State Highway 121 Apt 4300 Allen TX 75013-1193 Ph: (806) 252-1883 |
| NPI Number | 1285488080 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 08/02/2024 |
| Medicare PECOS PAC ID | 8921542895 |
|---|---|
| Medicare Enrollment ID | O20240702002934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285488080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vanita S Bagdure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780975128 PECOS PAC ID: 5597985689 Enrollment ID: I20220801002084 |
| Provider Name | Satish R Bagdure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316264971 PECOS PAC ID: 2365685724 Enrollment ID: I20220802000165 |
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