| Axis Cardiovascular, Pllc | |
|
4871 Williams Dr Bldg. 1 Suite 105 Georgetown TX 78633-2309 | |
| (407) 404-0210 | |
| Not Available |
| Full Name | Axis Cardiovascular, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4871 Williams Dr, Georgetown, Texas |
| Authorized Official Name and Position | Faraz Kureshi (DIRECTOR) |
| Authorized Official Contact | 5122405025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Cardiovascular, Pllc 4871 Williams Dr Bldg. 1 Suite 105 Georgetown TX 78633-2309 Ph: (512) 240-5025 | Axis Cardiovascular, Pllc 4871 Williams Dr Bldg. 1 Suite 105 Georgetown TX 78633-2309 Ph: (407) 404-0210 |
| NPI Number | 1538835533 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 04/20/2022 |
| Medicare PECOS PAC ID | 7517356439 |
|---|---|
| Medicare Enrollment ID | O20211116000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538835533 | NPI | - | NPPES |
| Provider Name | Rasikh Ajmal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053602300 PECOS PAC ID: 3577886621 Enrollment ID: I20141223000322 |
| Provider Name | Faraz Kureshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437383080 PECOS PAC ID: 9739325713 Enrollment ID: I20181023001161 |
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