| Nelofer Azad, M.d.,p.a. | |
|
12201 Merit Dr Suite 440 Dallas TX 75251-2213 | |
| (972) 490-6556 | |
| (972) 490-6189 |
| Full Name | Nelofer Azad, M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12201 Merit Dr, Dallas, Texas |
| Authorized Official Name and Position | Nelofer H Azad (PRESIDENT) |
| Authorized Official Contact | 9724906556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelofer Azad, M.d.,p.a. 12201 Merit Dr Suite 440 Dallas TX 75251-2213 Ph: (972) 490-6556 | Nelofer Azad, M.d.,p.a. 12201 Merit Dr Suite 440 Dallas TX 75251-2213 Ph: (972) 490-6556 |
| NPI Number | 1689932105 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 05/03/2012 |
| Medicare PECOS PAC ID | 3375706336 |
|---|---|
| Medicare Enrollment ID | O20120531000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689932105 | NPI | - | NPPES |
| 029880401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J0393 (Texas) | Primary |
| Provider Name | Nelofer Azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336224286 PECOS PAC ID: 4082877048 Enrollment ID: I20120531000611 |
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