| Iahiar Pa | |
|
9555 Diana Dr El Paso TX 79924-6951 | |
| (915) 800-1106 | |
| (915) 800-1107 |
| Full Name | Iahiar Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9555 Diana Dr, El Paso, Texas |
| Authorized Official Name and Position | Saurabh Basu Kandpal (OWNER/PRESIDENT) |
| Authorized Official Contact | 9158001106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iahiar Pa 9555 Diana Dr El Paso TX 79924-6951 Ph: (915) 800-1106 | Iahiar Pa 9555 Diana Dr El Paso TX 79924-6951 Ph: (915) 800-1106 |
| NPI Number | 1215597521 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 11/29/2021 |
| Medicare PECOS PAC ID | 6406181536 |
|---|---|
| Medicare Enrollment ID | O20190711003024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215597521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Saurabh Basu Kandpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669655817 PECOS PAC ID: 4789758723 Enrollment ID: I20190711003116 |
| Provider Name | Guadalupe Estrello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225614910 PECOS PAC ID: 3971991597 Enrollment ID: I20211101000016 |
| Provider Name | Ronald Frank Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467034991 PECOS PAC ID: 2365835964 Enrollment ID: I20220203000005 |
| Provider Name | Noe Farid Burguette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780373910 PECOS PAC ID: 4880055375 Enrollment ID: I20230731003996 |
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