| Canopusmd, Pllc | |
|
4221 Medical Pkwy Ste 150 Carrollton TX 75010-4545 | |
| (901) 826-7075 | |
| Not Available |
| Full Name | Canopusmd, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4221 Medical Pkwy Ste 150, Carrollton, Texas |
| Authorized Official Name and Position | Bushra Abbasi (PRESIDENT) |
| Authorized Official Contact | 9018267075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canopusmd, Pllc 4221 Medical Pkwy Ste 150 Carrollton TX 75010-4545 Ph: (972) 939-2121 | Canopusmd, Pllc 4221 Medical Pkwy Ste 150 Carrollton TX 75010-4545 Ph: (901) 826-7075 |
| NPI Number | 1942716121 |
|---|---|
| Provider Enumeration Date | 12/24/2017 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 9032472329 |
|---|---|
| Medicare Enrollment ID | O20180419001938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942716121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zain Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861670440 PECOS PAC ID: 8628258555 Enrollment ID: I20150109000089 |
| Provider Name | Bushra Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467642009 PECOS PAC ID: 3072707082 Enrollment ID: I20150826000716 |
| Provider Name | Pavneet Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750741963 PECOS PAC ID: 2668779109 Enrollment ID: I20160412002344 |
| Provider Name | Suneeta V Parpelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577937 PECOS PAC ID: 4183922289 Enrollment ID: I20170104000583 |
| Provider Name | Sanju Baino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992218424 PECOS PAC ID: 3072889138 Enrollment ID: I20180425000775 |
| Provider Name | Noman A Hussain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598933558 PECOS PAC ID: 4385797059 Enrollment ID: I20180601002162 |
| Provider Name | Sharil Lalani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962966655 PECOS PAC ID: 2062754138 Enrollment ID: I20190422001782 |
| Provider Name | Theresa N Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073070355 PECOS PAC ID: 1355674854 Enrollment ID: I20190617001408 |
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