| Community Infectious Diseases, P.a. | |
|
929 N Galloway Ave Ste. # 220 Mesquite TX 75149-2476 | |
| (214) 660-2533 | |
| (972) 744-0132 |
| Full Name | Community Infectious Diseases, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 929 N Galloway Ave, Mesquite, Texas |
| Authorized Official Name and Position | Abdul Qavi (OWNER) |
| Authorized Official Contact | 2146602533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Infectious Diseases, P.a. Po Box 852756 Mesquite TX 75185-2756 Ph: (214) 660-2533 | Community Infectious Diseases, P.a. 929 N Galloway Ave Ste. # 220 Mesquite TX 75149-2476 Ph: (214) 660-2533 |
| NPI Number | 1497832091 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 0244225795 |
|---|---|
| Medicare Enrollment ID | O20040415000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497832091 | NPI | - | NPPES |
| 163525201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | L7527 (Texas) | Primary |
| Provider Name | Abdul Qavi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780655779 PECOS PAC ID: 7012902588 Enrollment ID: I20040415000948 |
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