| Shan Medical Association | |
|
11717 Highland Meadow Dr #300 Houston TX 77089-6830 | |
| (281) 464-6042 | |
| (281) 464-6706 |
| Full Name | Shan Medical Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 11717 Highland Meadow Dr, Houston, Texas |
| Authorized Official Name and Position | Maneesh Natvarlal Patel (OWNER) |
| Authorized Official Contact | 2814646042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shan Medical Association 11717 Highland Meadow Dr #300 Houston TX 77089-6830 Ph: (281) 464-6042 | Shan Medical Association 11717 Highland Meadow Dr #300 Houston TX 77089-6830 Ph: (281) 464-6042 |
| NPI Number | 1194878975 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 09/22/2010 |
| Medicare PECOS PAC ID | 9032244686 |
|---|---|
| Medicare Enrollment ID | O20100322000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194878975 | NPI | - | NPPES |
| 213085801 | Medicaid | TX | |
| 0066CR | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Maneesh N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750492088 PECOS PAC ID: 6608901251 Enrollment ID: I20100322000122 |
| Provider Name | Dat D Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932201415 PECOS PAC ID: 5597895011 Enrollment ID: I20100610000140 |
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