| Jewel Ahmed Hospitalist Pllc | |
|
6800 Preston Rd Plano TX 75024-2505 | |
| (806) 355-6593 | |
| (806) 352-8774 |
| Full Name | Jewel Ahmed Hospitalist Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6800 Preston Rd, Plano, Texas |
| Authorized Official Name and Position | Md Jewel Ahmed (PRESIDENT) |
| Authorized Official Contact | 8062822127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewel Ahmed Hospitalist Pllc Po Box 8337 Amarillo TX 79114-8337 Ph: (806) 355-6593 | Jewel Ahmed Hospitalist Pllc 6800 Preston Rd Plano TX 75024-2505 Ph: (806) 355-6593 |
| NPI Number | 1063974822 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 03/24/2022 |
| Medicare PECOS PAC ID | 2961745856 |
|---|---|
| Medicare Enrollment ID | O20190516000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063974822 | NPI | - | NPPES |
| P2181 | Other | TX | TEXAS MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Md J Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265666036 PECOS PAC ID: 2062677602 Enrollment ID: I20120703000524 |
| Provider Name | Nazrul Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124345830 PECOS PAC ID: 8628204450 Enrollment ID: I20140620000754 |
| Provider Name | Bhagya Balasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578016291 PECOS PAC ID: 4082996814 Enrollment ID: I20170131000694 |
| Provider Name | Misty L Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134633183 PECOS PAC ID: 3072874692 Enrollment ID: I20180222001992 |
| Provider Name | Nithin Thomas Koshy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538782883 PECOS PAC ID: 0749602290 Enrollment ID: I20200630000108 |
| Provider Name | Rajwant Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861995409 PECOS PAC ID: 3274936273 Enrollment ID: I20210728003510 |
| Provider Name | Iolante Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235806399 PECOS PAC ID: 7214392489 Enrollment ID: I20230424001972 |
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