| North Texas Id Pa | |
|
5350 Independence Pkwy Ste 120 Frisco TX 75035-4637 | |
| (214) 396-8877 | |
| (214) 983-0983 |
| Full Name | North Texas Id Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5350 Independence Pkwy Ste 120, Frisco, Texas |
| Authorized Official Name and Position | Dhiraj Kotwal (PHYSICIAN) |
| Authorized Official Contact | 2143968877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Id Pa 5350 Independence Pkwy Ste 120 Frisco TX 75035-4637 Ph: () - | North Texas Id Pa 5350 Independence Pkwy Ste 120 Frisco TX 75035-4637 Ph: (214) 396-8877 |
| NPI Number | 1255874475 |
|---|---|
| Provider Enumeration Date | 11/19/2016 |
| Last Update Date | 11/19/2016 |
| Medicare PECOS PAC ID | 0042592453 |
|---|---|
| Medicare Enrollment ID | O20170119002426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255874475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Dhiraj K Kotwal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205918851 PECOS PAC ID: 4587752035 Enrollment ID: I20090223000104 |
| Provider Name | Abhimanyu Kaura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740577766 PECOS PAC ID: 6800015710 Enrollment ID: I20150527001533 |
| Provider Name | Aman Jyoti Grewal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942674270 PECOS PAC ID: 3779889415 Enrollment ID: I20160331002236 |
| Provider Name | Pavneet Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750741963 PECOS PAC ID: 2668779109 Enrollment ID: I20160412002344 |
| Provider Name | Avneet Kaur Bajwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974181 PECOS PAC ID: 9032509476 Enrollment ID: I20211129002319 |
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