| Sanative Healthcare Llc | |
|
17319 E Summer Rose Ct Cypress TX 77429-6723 | |
| (786) 253-2074 | |
| Not Available |
| Full Name | Sanative Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17319 E Summer Rose Ct, Cypress, Texas |
| Authorized Official Name and Position | Sana Kausar Shamji-mukhi (OWNER OF ENTITY) |
| Authorized Official Contact | 7862532074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanative Healthcare Llc 17319 E Summer Rose Ct Cypress TX 77429-6723 Ph: (786) 253-2074 | Sanative Healthcare Llc 17319 E Summer Rose Ct Cypress TX 77429-6723 Ph: (786) 253-2074 |
| NPI Number | 1477238970 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 6406215441 |
|---|---|
| Medicare Enrollment ID | O20230707003669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477238970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sana Kausar Shamji Mukhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962852525 PECOS PAC ID: 3476972522 Enrollment ID: I20230707003676 |
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