| Comprehensive Id Care | |
|
425 Old Newman Rd Ste 402 Frisco TX 75036-8184 | |
| (972) 499-5551 | |
| (972) 499-9150 |
| Full Name | Comprehensive Id Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 425 Old Newman Rd Ste 402, Frisco, Texas |
| Authorized Official Name and Position | Shahbaz Ahmad (PRESIDENT) |
| Authorized Official Contact | 9724995551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Id Care 5570 Fm 423 Ste 250 Pmb#177 Frisco TX 75036-8929 Ph: (972) 499-5551 | Comprehensive Id Care 425 Old Newman Rd Ste 402 Frisco TX 75036-8184 Ph: (972) 499-5551 |
| NPI Number | 1568919496 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 5890076459 |
|---|---|
| Medicare Enrollment ID | O20161220001208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568919496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| Provider Name | Shahbaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003134479 PECOS PAC ID: 5294982377 Enrollment ID: I20120824000116 |
| Provider Name | Reni Kuruvilla Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023528031 PECOS PAC ID: 4587920731 Enrollment ID: I20171104000083 |
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