South Dallas Infectious Diseases Pllc | |
951 York Dr Suite 102 Desoto TX 75115-2052 | |
(469) 850-2697 | |
Not Available |
Full Name | South Dallas Infectious Diseases Pllc |
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Speciality | Internal Medicine |
Location | 951 York Dr, Desoto, Texas |
Authorized Official Name and Position | Ronak Jashvantray Patel (VICE PRESIDENT) |
Authorized Official Contact | 9726796722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Dallas Infectious Diseases Pllc 13567 Leeson Ln Frisco TX 75035-0806 Ph: (972) 679-6722 | South Dallas Infectious Diseases Pllc 951 York Dr Suite 102 Desoto TX 75115-2052 Ph: (469) 850-2697 |
NPI Number | 1609317262 |
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Provider Enumeration Date | 03/15/2017 |
Last Update Date | 03/15/2017 |
Medicare PECOS PAC ID | 2668759689 |
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Medicare Enrollment ID | O20170501000398 |
Identifier | Type | State | Issuer |
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1609317262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | P3055 (Texas) | Primary |
Provider Name | Ronak J Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225264690 PECOS PAC ID: 8820240120 Enrollment ID: I20121213000292 |
Provider Name | Nebu T Alexander |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1912024100 PECOS PAC ID: 2668525759 Enrollment ID: I20130411000573 |
Provider Name | Ricardo Manuel Quezada |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1053502435 PECOS PAC ID: 0840323176 Enrollment ID: I20180216000765 |
Provider Name | Abdul Basit |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780951970 PECOS PAC ID: 9537457551 Enrollment ID: I20210301001137 |
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