| Amerihealth Consultant Pllc | |
|
255 W Lebanon # 224 Frisco TX 75036-3411 | |
| (214) 551-7407 | |
| Not Available |
| Full Name | Amerihealth Consultant Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 W Lebanon # 224, Frisco, Texas |
| Authorized Official Name and Position | Syed Sameeruddin (MEDICAL DOCTOR) |
| Authorized Official Contact | 9082022719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amerihealth Consultant Pllc 1014 Sparrow Dr Murphy TX 75094-3910 Ph: (908) 202-2719 | Amerihealth Consultant Pllc 255 W Lebanon # 224 Frisco TX 75036-3411 Ph: (214) 551-7407 |
| NPI Number | 1457823718 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 12/31/2018 |
| Medicare PECOS PAC ID | 8224376496 |
|---|---|
| Medicare Enrollment ID | O20190213001817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457823718 | NPI | - | NPPES |
| 298126ZN1K | Other | TX | MEDICARE |
| 8FJ036 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| 332769403 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed R Sameeruddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740512649 PECOS PAC ID: 5092958090 Enrollment ID: I20130823000155 |
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