| Alpha Omega Infectious Diseases Pa | |
|
22710 Professional Dr Ste 100 Kingwood TX 77339-6009 | |
| (318) 820-8182 | |
| Not Available |
| Full Name | Alpha Omega Infectious Diseases Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 22710 Professional Dr Ste 100, Kingwood, Texas |
| Authorized Official Name and Position | Anjali Dasgupta (OWNER) |
| Authorized Official Contact | 3188208182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Omega Infectious Diseases Pa Po Box 130882 Spring TX 77393-0882 Ph: () - | Alpha Omega Infectious Diseases Pa 22710 Professional Dr Ste 100 Kingwood TX 77339-6009 Ph: (318) 820-8182 |
| NPI Number | 1285995605 |
|---|---|
| Provider Enumeration Date | 06/01/2012 |
| Last Update Date | 09/26/2012 |
| Medicare PECOS PAC ID | 6901052430 |
|---|---|
| Medicare Enrollment ID | O20120815000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285995605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Anjali Dasgupta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194938035 PECOS PAC ID: 2264587492 Enrollment ID: I20111207000416 |
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