Heal 360 Primary Care Pllc | |
2806 W Fm 544 Wylie TX 75098-7022 | |
(972) 226-8900 | |
(972) 218-0554 |
Full Name | Heal 360 Primary Care Pllc |
---|---|
Speciality | General Practice |
Location | 2806 W Fm 544, Wylie, Texas |
Authorized Official Name and Position | Mohammed Mohiuddin (CEO) |
Authorized Official Contact | 9729006009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Heal 360 Primary Care Pllc 1313 Bravura Dr Plano TX 75074-0107 Ph: (972) 226-8900 | Heal 360 Primary Care Pllc 2806 W Fm 544 Wylie TX 75098-7022 Ph: (972) 226-8900 |
NPI Number | 1588022800 |
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Provider Enumeration Date | 02/01/2016 |
Last Update Date | 08/11/2023 |
Medicare PECOS PAC ID | 4688972052 |
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Medicare Enrollment ID | O20160419000582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588022800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Philip F Bronowitz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235178385 PECOS PAC ID: 1052339272 Enrollment ID: I20051107000419 |
Provider Name | Mohammed A Mohiuddin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942308424 PECOS PAC ID: 3173622479 Enrollment ID: I20070627000658 |
Provider Name | Asma C Ashraf |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639498371 PECOS PAC ID: 6507095650 Enrollment ID: I20140212001336 |
Provider Name | Arif Mahmood |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487940953 PECOS PAC ID: 9537384318 Enrollment ID: I20140711000428 |
Provider Name | Samad Khan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1780944496 PECOS PAC ID: 6507166220 Enrollment ID: I20151202002648 |
Provider Name | Aditi Rane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013491463 PECOS PAC ID: 9931435823 Enrollment ID: I20190730004402 |
Provider Name | Fakhrudin Aaseemah Mohamed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952782518 PECOS PAC ID: 4688924491 Enrollment ID: I20191014001718 |
Provider Name | Asif Iqbal Khan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043604309 PECOS PAC ID: 1557613809 Enrollment ID: I20191212001172 |
Provider Name | Aisha Khan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548450539 PECOS PAC ID: 3870914997 Enrollment ID: I20200528000750 |
Provider Name | Christina Tote |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801565858 PECOS PAC ID: 5193122893 Enrollment ID: I20210922003718 |
Provider Name | Aneeqa Shamshad Butt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831678226 PECOS PAC ID: 3476936071 Enrollment ID: I20220815001864 |
Provider Name | Ariba Khan Akhund |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871054676 PECOS PAC ID: 8325414311 Enrollment ID: I20221017000723 |
Provider Name | Monsurat A Shoola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447894266 PECOS PAC ID: 7810363355 Enrollment ID: I20221025000357 |
Provider Name | Stachia Aiken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366119372 PECOS PAC ID: 8921475849 Enrollment ID: I20221107002078 |
Provider Name | Heather Inkman Kinder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720563539 PECOS PAC ID: 7517335987 Enrollment ID: I20221116002613 |
Provider Name | Neelam Rajendra Pingle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366117327 PECOS PAC ID: 9537537824 Enrollment ID: I20221117000513 |
Provider Name | Kristin Sheneman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083232276 PECOS PAC ID: 8628446572 Enrollment ID: I20221125000023 |
Provider Name | Kismat Hirani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376019745 PECOS PAC ID: 3971971672 Enrollment ID: I20221201000024 |
Provider Name | Ana Lugo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770256968 PECOS PAC ID: 7214305911 Enrollment ID: I20221201000108 |
Provider Name | Mahvish Ayman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871054726 PECOS PAC ID: 1456720721 Enrollment ID: I20221207003251 |
Provider Name | Randa Soukieh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871948570 PECOS PAC ID: 7719270156 Enrollment ID: I20221213001188 |
Provider Name | Hafsa Hafeez Syeda |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992267850 PECOS PAC ID: 3173993557 Enrollment ID: I20221229000312 |
Provider Name | Mohamed Faheid |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104449990 PECOS PAC ID: 4284055963 Enrollment ID: I20231012001435 |
Provider Name | Asnakew Ayalew |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407614753 PECOS PAC ID: 0143660019 Enrollment ID: I20240425004196 |
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