| Pri-med Care | |
|
502 North Valley Parkway Suite 1 Lewisville TX 75067-3437 | |
| (972) 353-8616 | |
| (972) 353-5352 |
| Full Name | Pri-med Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 502 North Valley Parkway, Lewisville, Texas |
| Authorized Official Name and Position | Jalil Aziz Khan (OWNER) |
| Authorized Official Contact | 9723538616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pri-med Care 502 North Valley Parkway Suite 1 Lewisville TX 75067-3437 Ph: (972) 353-8616 | Pri-med Care 502 North Valley Parkway Suite 1 Lewisville TX 75067-3437 Ph: (972) 353-8616 |
| NPI Number | 1255424859 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 1052370103 |
|---|---|
| Medicare Enrollment ID | O20041005001092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255424859 | NPI | - | NPPES |
| 1451080-07 | Medicaid | TX | |
| 066DQ | Other | BCBS GROUP # | |
| 1699985-01 | Medicaid | TX | |
| 1274664-06 | Medicaid | TX | |
| 1442063-14 | Medicaid | TX |
| Provider Name | Jalil Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821183435 PECOS PAC ID: 0042279192 Enrollment ID: I20041006000181 |
| Provider Name | Reena Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033550645 PECOS PAC ID: 2163666793 Enrollment ID: I20130920000030 |
| Provider Name | Sheeba George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093146953 PECOS PAC ID: 7618100132 Enrollment ID: I20140507000378 |
| Provider Name | Bhawana Pradhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295252195 PECOS PAC ID: 6507132974 Enrollment ID: I20171031000250 |
| Provider Name | Rajwant Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861995409 PECOS PAC ID: 3274936273 Enrollment ID: I20210728003510 |
| Provider Name | Remi Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962089052 PECOS PAC ID: 9436547577 Enrollment ID: I20211022001343 |
| Provider Name | Tasneem Sapatwalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710629506 PECOS PAC ID: 6901284181 Enrollment ID: I20220531000571 |
| Provider Name | Jaya Matharage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205558251 PECOS PAC ID: 7113399841 Enrollment ID: I20230207000605 |
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