| Precision Internal Medicine Care Pc | |
|
3900 W Broadway St Muskogee OK 74401-2145 | |
| (918) 682-8612 | |
| (918) 682-0620 |
| Full Name | Precision Internal Medicine Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3900 W Broadway St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Azzam Almounajjed (OWNER) |
| Authorized Official Contact | 9186828612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Precision Internal Medicine Care Pc 3900 W Broadway St Muskogee OK 74401-2145 Ph: (918) 682-8612 | Precision Internal Medicine Care Pc 3900 W Broadway St Muskogee OK 74401-2145 Ph: (918) 682-8612 |
| NPI Number | 1932539491 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 10/14/2024 |
| Medicare PECOS PAC ID | 2860718905 |
|---|---|
| Medicare Enrollment ID | O20150306001781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932539491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26649 (Oklahoma) | Primary |
| Provider Name | Michael Wayne Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104861616 PECOS PAC ID: 7214952522 Enrollment ID: I20051005001249 |
| Provider Name | Muhammad Y Darkazally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316139660 PECOS PAC ID: 6608943154 Enrollment ID: I20080924000664 |
| Provider Name | Azzam Almounajjed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508876590 PECOS PAC ID: 2769477710 Enrollment ID: I20090310000595 |
| Provider Name | Caysie N Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497138994 PECOS PAC ID: 7517273154 Enrollment ID: I20150827002713 |
| Provider Name | Jaquita Y Gardner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1134635469 PECOS PAC ID: 0941561625 Enrollment ID: I20180220001418 |
| Provider Name | Shay N Surowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841728896 PECOS PAC ID: 7214270560 Enrollment ID: I20190530000400 |
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