| Modern Medicine Pllc | |
|
919 Reinicke St Ste A Houston TX 77007-5191 | |
| (346) 351-7958 | |
| (803) 932-9618 |
| Full Name | Modern Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 919 Reinicke St Ste A, Houston, Texas |
| Authorized Official Name and Position | Kevin Tavangarian (MD) |
| Authorized Official Contact | 8326075704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Medicine Pllc 919 Reinicke St Ste A Houston TX 77007-5191 Ph: (346) 351-7958 | Modern Medicine Pllc 919 Reinicke St Ste A Houston TX 77007-5191 Ph: (346) 351-7958 |
| NPI Number | 1255088720 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 03/14/2022 |
| Medicare PECOS PAC ID | 1153717749 |
|---|---|
| Medicare Enrollment ID | O20220407001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255088720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Zuhair A Albana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295928224 PECOS PAC ID: 7416032537 Enrollment ID: I20080402000673 |
| Provider Name | Kevin R Tavangarian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760822886 PECOS PAC ID: 1153615471 Enrollment ID: I20160810000251 |
| Provider Name | Mir Ali Sadat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508244179 PECOS PAC ID: 9133469331 Enrollment ID: I20190326002252 |
| Provider Name | Mohammad A Sadat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679987853 PECOS PAC ID: 7911258421 Enrollment ID: I20200810002030 |
| Provider Name | Oluwabomilasiri Magnus-lawson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588911390 PECOS PAC ID: 6305104894 Enrollment ID: I20200817000664 |
| Provider Name | Tran Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700378148 PECOS PAC ID: 2062819451 Enrollment ID: I20210928002238 |
| Provider Name | Trung T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639631492 PECOS PAC ID: 8325377815 Enrollment ID: I20220916001132 |
| Provider Name | Saad Asim Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568923720 PECOS PAC ID: 8022485838 Enrollment ID: I20221108002646 |
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