Farida Valliani Md P A | |
3740 N Josey Ln Suite 206 Carrollton TX 75007-2474 | |
(214) 731-0031 | |
(214) 731-0065 |
Full Name | Farida Valliani Md P A |
---|---|
Speciality | Internal Medicine |
Location | 3740 N Josey Ln, Carrollton, Texas |
Authorized Official Name and Position | Farida Farrukh Valliani (OWNER) |
Authorized Official Contact | 2147310031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Farida Valliani Md P A 3740 N Josey Ln Suite 206 Carrollton TX 75007-2474 Ph: (214) 731-0031 | Farida Valliani Md P A 3740 N Josey Ln Suite 206 Carrollton TX 75007-2474 Ph: (214) 731-0031 |
NPI Number | 1669472205 |
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Provider Enumeration Date | 07/26/2005 |
Last Update Date | 10/12/2011 |
Medicare PECOS PAC ID | 8628092418 |
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Medicare Enrollment ID | O20060119000528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669472205 | NPI | - | NPPES |
157962501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | J9413 (Texas) | Primary |
Provider Name | Farida F Valliani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386644235 PECOS PAC ID: 5597702225 Enrollment ID: I20050413000961 |
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