Khanh Gia Do, Md Pa | |
1439 Sw Military Dr San Antonio TX 78221-1539 | |
(210) 924-6565 | |
(210) 924-4835 |
Full Name | Khanh Gia Do, Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 1439 Sw Military Dr, San Antonio, Texas |
Authorized Official Name and Position | Khanh Gia Do (PRESIDENT) |
Authorized Official Contact | 2109246565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Khanh Gia Do, Md Pa 1439 Sw Military Dr San Antonio TX 78221-1539 Ph: (210) 924-6565 | Khanh Gia Do, Md Pa 1439 Sw Military Dr San Antonio TX 78221-1539 Ph: (210) 924-6565 |
NPI Number | 1972652733 |
---|---|
Provider Enumeration Date | 01/10/2007 |
Last Update Date | 08/13/2014 |
Medicare PECOS PAC ID | 7618948548 |
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Medicare Enrollment ID | O20040804000742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972652733 | NPI | - | NPPES |
0036LT | Other | TX | BCBS OF TEXAS |
171454501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Khanh Gia Do |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174672927 PECOS PAC ID: 3779554605 Enrollment ID: I20040805000290 |
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