| Highland Primary Care, Llc | |
|
425 N Highland Ave Ste 120 Sherman TX 75092-7383 | |
| (202) 631-9400 | |
| Not Available |
| Full Name | Highland Primary Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 425 N Highland Ave Ste 120, Sherman, Texas |
| Authorized Official Name and Position | Shahram Sani (MANAGING MEMBER) |
| Authorized Official Contact | 2026319400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Primary Care, Llc 425 N Highland Ave Ste 120 Sherman TX 75092-7383 Ph: (202) 631-9400 | Highland Primary Care, Llc 425 N Highland Ave Ste 120 Sherman TX 75092-7383 Ph: (202) 631-9400 |
| NPI Number | 1891562856 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/08/2023 |
| Medicare PECOS PAC ID | 0143671883 |
|---|---|
| Medicare Enrollment ID | O20240108003324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891562856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shahram Norouzi Sani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174572077 PECOS PAC ID: 0648263277 Enrollment ID: I20130705000080 |
| Provider Name | Amit Ghanashyam Warke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073756375 PECOS PAC ID: 5193976983 Enrollment ID: I20170127000436 |
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