| Passion Health Primary Care | |
|
4100 W 15th St Ste 110 Plano TX 75093-5826 | |
| (214) 666-6259 | |
| (855) 618-2235 |
| Full Name | Passion Health Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 W 15th St Ste 110, Plano, Texas |
| Authorized Official Name and Position | Anantha Chentha (OWNER) |
| Authorized Official Contact | 2174544639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passion Health Primary Care 230 O'connor Ridge Blvd Suite 110 Irving TX 75038 Ph: (214) 666-6259 | Passion Health Primary Care 4100 W 15th St Ste 110 Plano TX 75093-5826 Ph: (214) 666-6259 |
| NPI Number | 1306455712 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 12/27/2022 |
| Medicare PECOS PAC ID | 5698194702 |
|---|---|
| Medicare Enrollment ID | O20200923000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306455712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly T Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417926783 PECOS PAC ID: 1951377530 Enrollment ID: I20061017000090 |
| Provider Name | Mark D Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225033210 PECOS PAC ID: 1658357850 Enrollment ID: I20120514000165 |
| Provider Name | Raju Raghunath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225455207 PECOS PAC ID: 6507154804 Enrollment ID: I20161019000102 |
| Provider Name | Anantha K Chentha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245648195 PECOS PAC ID: 3779855879 Enrollment ID: I20180511001553 |
| Provider Name | Shyamala Madhavi Arani Purushotham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235547480 PECOS PAC ID: 3577862259 Enrollment ID: I20180926000940 |
| Provider Name | Megan Philkhana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316441702 PECOS PAC ID: 3173929429 Enrollment ID: I20210910002921 |
| Provider Name | Pooja D Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851825640 PECOS PAC ID: 2466721402 Enrollment ID: I20230224000817 |
| Provider Name | Shanthini Kuduva Rajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609497387 PECOS PAC ID: 6204290992 Enrollment ID: I20230913003798 |
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