| Houston Nw Id Specialists Pa | |
|
12025 Louetta Rd Suite D Houston TX 77070-1149 | |
| (281) 251-7888 | |
| (281) 251-4222 |
| Full Name | Houston Nw Id Specialists Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12025 Louetta Rd, Houston, Texas |
| Authorized Official Name and Position | Rajendra G. Pandya (PRESIDENT/OWNER) |
| Authorized Official Contact | 7134647555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Nw Id Specialists Pa 12025 Louetta Rd Suite D Houston TX 77070-1149 Ph: (281) 251-7888 | Houston Nw Id Specialists Pa 12025 Louetta Rd Suite D Houston TX 77070-1149 Ph: (281) 251-7888 |
| NPI Number | 1932468402 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 05/03/2012 |
| Medicare PECOS PAC ID | 9638305790 |
|---|---|
| Medicare Enrollment ID | O20131119000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932468402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Fady E El-saghbini |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245427020 PECOS PAC ID: 8426112509 Enrollment ID: I20090730000012 |
| Provider Name | Brijesh A Raval |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285898403 PECOS PAC ID: 7810052776 Enrollment ID: I20100825000842 |
| Provider Name | Rajendra G Pandya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265442420 PECOS PAC ID: 5294798112 Enrollment ID: I20101207001263 |
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