| S.g. Ghide, M.d,, P.a. | |
|
1120 Medical Plaza Dr Ste 310 Shenandoah TX 77380-3242 | |
| (281) 732-5952 | |
| (281) 377-4733 |
| Full Name | S.g. Ghide, M.d,, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1120 Medical Plaza Dr, Shenandoah, Texas |
| Authorized Official Name and Position | Susan E Wiesner (CREDENTIALING/ADMINISTRATION) |
| Authorized Official Contact | 2818516431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S.g. Ghide, M.d,, P.a. Po Box 9840 The Woodlands TX 77387-6840 Ph: (281) 732-5952 | S.g. Ghide, M.d,, P.a. 1120 Medical Plaza Dr Ste 310 Shenandoah TX 77380-3242 Ph: (281) 732-5952 |
| NPI Number | 1679722425 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 04/28/2017 |
| Medicare PECOS PAC ID | 8729026349 |
|---|---|
| Medicare Enrollment ID | O20130103000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679722425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | K9282 (Texas) | Primary |
| Provider Name | Solomon G Ghide |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831231661 PECOS PAC ID: 1355389974 Enrollment ID: I20050422000703 |
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