| Bayou City Infectious Disease Pllc | |
|
1311 W Sam Houston Pkwy N Ste 100 Houston TX 77043-4016 | |
| (832) 219-3385 | |
| (832) 219-3374 |
| Full Name | Bayou City Infectious Disease Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1311 W Sam Houston Pkwy N Ste 100, Houston, Texas |
| Authorized Official Name and Position | Shariq Rauf (OWNER) |
| Authorized Official Contact | 2487590534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou City Infectious Disease Pllc Po Box 890967 Houston TX 77289-0967 Ph: (832) 219-3385 | Bayou City Infectious Disease Pllc 1311 W Sam Houston Pkwy N Ste 100 Houston TX 77043-4016 Ph: (832) 219-3385 |
| NPI Number | 1689312761 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 5193106516 |
|---|---|
| Medicare Enrollment ID | O20220718000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689312761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Shariq J Rauf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528019023 PECOS PAC ID: 9234037946 Enrollment ID: I20031219000352 |
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