Dallas Md Associates Llc | |
12505 Lebanon Rd Frisco TX 75035-8298 | |
(469) 453-8118 | |
Not Available |
Full Name | Dallas Md Associates Llc |
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Speciality | Internal Medicine |
Location | 12505 Lebanon Rd, Frisco, Texas |
Authorized Official Name and Position | Muhammad Ali Khan (PHYSICIAN/OWNER) |
Authorized Official Contact | 4694538118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dallas Md Associates Llc Po Box 737045 Dallas TX 75373-7045 Ph: (469) 453-8118 | Dallas Md Associates Llc 12505 Lebanon Rd Frisco TX 75035-8298 Ph: (469) 453-8118 |
NPI Number | 1326453242 |
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Provider Enumeration Date | 06/30/2014 |
Last Update Date | 09/04/2024 |
Medicare PECOS PAC ID | 9931422169 |
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Medicare Enrollment ID | O20141219001073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326453242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | N2594 (Texas) | Primary |
Provider Name | Muhammad Khan |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1396700043 PECOS PAC ID: 0244224012 Enrollment ID: I20110504000537 |
Provider Name | Tariq J Hendawi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518439819 PECOS PAC ID: 6305184557 Enrollment ID: I20190213000970 |
Provider Name | Sharil Lalani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962966655 PECOS PAC ID: 2062754138 Enrollment ID: I20190422001782 |
Provider Name | Kanna Endo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477210847 PECOS PAC ID: 8729471552 Enrollment ID: I20220131001222 |
Provider Name | Michael Anthony Shive |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689339178 PECOS PAC ID: 2365988516 Enrollment ID: I20240723004827 |
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