| Excellence Emergency Hospital Physician Pllc | |
|
15149 Wallisville Road Houston TX 77049-4619 | |
| (832) 400-2396 | |
| Not Available |
| Full Name | Excellence Emergency Hospital Physician Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15149 Wallisville Road, Houston, Texas |
| Authorized Official Name and Position | Inam Khan (MANAGER) |
| Authorized Official Contact | 8324574920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Emergency Hospital Physician Pllc 15149 Wallisville Road Houston TX 77049-4619 Ph: (832) 400-2396 | Excellence Emergency Hospital Physician Pllc 15149 Wallisville Road Houston TX 77049-4619 Ph: (832) 400-2396 |
| NPI Number | 1972223675 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 4284001280 |
|---|---|
| Medicare Enrollment ID | O20221103003033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972223675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | James T Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396766176 PECOS PAC ID: 0749186856 Enrollment ID: I20031210000135 |
| Provider Name | Salvatore Esposito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891766937 PECOS PAC ID: 6507765914 Enrollment ID: I20040105000851 |
| Provider Name | Morteza Shatery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508942947 PECOS PAC ID: 6103717319 Enrollment ID: I20040324001163 |
| Provider Name | Okezie N Okezie |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851392823 PECOS PAC ID: 3577559699 Enrollment ID: I20040423000504 |
| Provider Name | Ronald N Parris |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1043303886 PECOS PAC ID: 0446247100 Enrollment ID: I20040427000103 |
| Provider Name | Ben Luong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770551103 PECOS PAC ID: 0042209207 Enrollment ID: I20040511001641 |
| Provider Name | Eric D Roberson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801816962 PECOS PAC ID: 9739170499 Enrollment ID: I20040520001363 |
| Provider Name | Mohammad Hussain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326019555 PECOS PAC ID: 6507841806 Enrollment ID: I20040621001858 |
| Provider Name | Shakeb Hashmi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013958909 PECOS PAC ID: 9234104886 Enrollment ID: I20040827000873 |
| Provider Name | Michael Heard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821083148 PECOS PAC ID: 6305805342 Enrollment ID: I20050621000974 |
| Provider Name | Peter M Sanni Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700847944 PECOS PAC ID: 3072547157 Enrollment ID: I20050920000111 |
| Provider Name | Darshan P Anandu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487657680 PECOS PAC ID: 4183687981 Enrollment ID: I20051029000281 |
| Provider Name | Brandon Nghia To |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881640316 PECOS PAC ID: 3678500741 Enrollment ID: I20051115000616 |
| Provider Name | Won Yi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053323030 PECOS PAC ID: 8022119932 Enrollment ID: I20070723000300 |
| Provider Name | Obidike R Akahara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710181664 PECOS PAC ID: 2163504507 Enrollment ID: I20090422000278 |
| Provider Name | Amir Abdur Rasheed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598952178 PECOS PAC ID: 3274684204 Enrollment ID: I20090701000623 |
| Provider Name | Moses Edward Wilcox |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033192901 PECOS PAC ID: 3870629413 Enrollment ID: I20100408000302 |
| Provider Name | Akbar Amirafshari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417180324 PECOS PAC ID: 6608051891 Enrollment ID: I20110504000105 |
| Provider Name | Ankur R Khosla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861760985 PECOS PAC ID: 3779723820 Enrollment ID: I20130712000504 |
| Provider Name | Abdul R Zahid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184942112 PECOS PAC ID: 2668612524 Enrollment ID: I20130717000559 |
| Provider Name | Isaac Freeborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972705333 PECOS PAC ID: 8426149527 Enrollment ID: I20131122000664 |
| Provider Name | Shariq Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063707248 PECOS PAC ID: 8921239302 Enrollment ID: I20141106000597 |
| Provider Name | Anish G Govind Radhakrishnan Potty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902208440 PECOS PAC ID: 1254650336 Enrollment ID: I20150512002659 |
| Provider Name | Mohammed Abdur Farooqui |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831570993 PECOS PAC ID: 1850604729 Enrollment ID: I20150721002192 |
| Provider Name | Adriano E Goffi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184980922 PECOS PAC ID: 8426365271 Enrollment ID: I20150911000869 |
| Provider Name | William F Buitrago |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376856948 PECOS PAC ID: 4688962376 Enrollment ID: I20161012002439 |
| Provider Name | Aisha Khattak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104142736 PECOS PAC ID: 5496034373 Enrollment ID: I20161116002946 |
| Provider Name | Shabaz Q Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598911281 PECOS PAC ID: 7012189723 Enrollment ID: I20161118002015 |
| Provider Name | Sameer A Phalak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215208285 PECOS PAC ID: 6305146648 Enrollment ID: I20170725002045 |
| Provider Name | Muhammad Farhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184144289 PECOS PAC ID: 1658647656 Enrollment ID: I20171018002800 |
| Provider Name | Mohammad Aamir Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427164631 PECOS PAC ID: 3577582477 Enrollment ID: I20171023002761 |
| Provider Name | Danny L Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093194722 PECOS PAC ID: 4880999655 Enrollment ID: I20180201000420 |
| Provider Name | Phu T Cao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497179626 PECOS PAC ID: 2365747912 Enrollment ID: I20180215002533 |
| Provider Name | Bilal H Piracha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083920888 PECOS PAC ID: 6901040872 Enrollment ID: I20180509002080 |
| Provider Name | Khaled Magdy Attia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285162339 PECOS PAC ID: 8921378332 Enrollment ID: I20190315000093 |
| Provider Name | Pradheep Jothi Shanker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457399818 PECOS PAC ID: 8123030657 Enrollment ID: I20190326001064 |
| Provider Name | Gultasib K Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306125521 PECOS PAC ID: 8022258003 Enrollment ID: I20190516000118 |
| Provider Name | Muhammod Ahmad |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992745806 PECOS PAC ID: 8224058136 Enrollment ID: I20200303002225 |
| Provider Name | Espiridion Rey Mendez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013103209 PECOS PAC ID: 5991886038 Enrollment ID: I20200922000421 |
| Provider Name | Nisarg Vinu Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235592809 PECOS PAC ID: 8426345224 Enrollment ID: I20210507001619 |
| Provider Name | Omar Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770991754 PECOS PAC ID: 7719281310 Enrollment ID: I20220216002030 |
| Provider Name | Zunair Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467915264 PECOS PAC ID: 5991032526 Enrollment ID: I20230511002800 |
| Provider Name | Fernando Techy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922265537 PECOS PAC ID: 8325216237 Enrollment ID: I20240124001378 |
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