| Preventa Family Clinic, Pllc | |
|
15200 Southwest Fwy Ste 285 Sugar Land TX 77478-3866 | |
| (281) 634-7800 | |
| (281) 634-7807 |
| Full Name | Preventa Family Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 15200 Southwest Fwy Ste 285, Sugar Land, Texas |
| Authorized Official Name and Position | Arsalan Ahmed (PRESIDENT/OWNER) |
| Authorized Official Contact | 2816347800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventa Family Clinic, Pllc 15200 Southwest Fwy Ste 285 Sugar Land TX 77478-3866 Ph: (281) 634-7800 | Preventa Family Clinic, Pllc 15200 Southwest Fwy Ste 285 Sugar Land TX 77478-3866 Ph: (281) 634-7800 |
| NPI Number | 1568975571 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 9436418027 |
|---|---|
| Medicare Enrollment ID | O20180104000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568975571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA09248 (Texas) | Primary |
| 207ZP0101X | Pathology - Anatomic Pathology | 0101245512 (Virginia) | Secondary |
| Provider Name | Nihal U Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114981321 PECOS PAC ID: 5193716892 Enrollment ID: I20061019000618 |
| Provider Name | Riaz U Haque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881697852 PECOS PAC ID: 8527044833 Enrollment ID: I20140327001549 |
| Provider Name | Tanveer Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932509627 PECOS PAC ID: 5496918211 Enrollment ID: I20150608000641 |
| Provider Name | Nikki Negeen Onstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407582562 PECOS PAC ID: 7618352949 Enrollment ID: I20220922000489 |
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