| Prime Infectious Disease Group Pllc | |
|
Wounde Care Center 7 Medical Pkwy Dallas TX 75234-7829 | |
| (469) 453-8118 | |
| (972) 888-7047 |
| Full Name | Prime Infectious Disease Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | Wounde Care Center, Dallas, Texas |
| Authorized Official Name and Position | Suresh Kachhdiya (PRESIDENT) |
| Authorized Official Contact | 4694538118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Infectious Disease Group Pllc Po Box 251104 Plano TX 75025-1104 Ph: () - | Prime Infectious Disease Group Pllc Wounde Care Center 7 Medical Pkwy Dallas TX 75234-7829 Ph: (469) 453-8118 |
| NPI Number | 1801469218 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 2961890801 |
|---|---|
| Medicare Enrollment ID | O20211027000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801469218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Rajivkumar Amipara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023389251 PECOS PAC ID: 4587813746 Enrollment ID: I20130702000705 |
| Provider Name | Aman Jyoti Grewal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942674270 PECOS PAC ID: 3779889415 Enrollment ID: I20160331002236 |
| Provider Name | Samantha R Gwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700417466 PECOS PAC ID: 7113357625 Enrollment ID: I20200424001125 |
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