Mendha Primary Care Pllc | |
5550 Warren Pkwy Ste 120 Frisco TX 75034-7399 | |
(813) 770-9914 | |
(469) 905-3781 |
Full Name | Mendha Primary Care Pllc |
---|---|
Speciality | Family Medicine |
Location | 5550 Warren Pkwy Ste 120, Frisco, Texas |
Authorized Official Name and Position | Kazi Duza (CEO) |
Authorized Official Contact | 8137709914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mendha Primary Care Pllc 5550 Warren Pkwy Ste 120 Frisco TX 75034-7399 Ph: (813) 770-9914 | Mendha Primary Care Pllc 5550 Warren Pkwy Ste 120 Frisco TX 75034-7399 Ph: (813) 770-9914 |
NPI Number | 1609597541 |
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Provider Enumeration Date | 09/08/2022 |
Last Update Date | 03/06/2024 |
Medicare PECOS PAC ID | 9830565985 |
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Medicare Enrollment ID | O20221110002356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609597541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kiran Kassim Mendha |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790210912 PECOS PAC ID: 4587935382 Enrollment ID: I20210719000014 |
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