| Southeast Texas Infectious Disease Pllc | |
|
2955 Harrison St Ste 204 Beaumont TX 77702-1156 | |
| (092) 454-0761 | |
| (409) 245-0994 |
| Full Name | Southeast Texas Infectious Disease Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2955 Harrison St Ste 204, Beaumont, Texas |
| Authorized Official Name and Position | Shariq Rauf (OWNER) |
| Authorized Official Contact | 2819428001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Texas Infectious Disease Pllc Po Box 590045 Houston TX 77259-0045 Ph: (281) 942-8001 | Southeast Texas Infectious Disease Pllc 2955 Harrison St Ste 204 Beaumont TX 77702-1156 Ph: (092) 454-0761 |
| NPI Number | 1992338370 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 3577993484 |
|---|---|
| Medicare Enrollment ID | O20200416002369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992338370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Shariq J Rauf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528019023 PECOS PAC ID: 9234037946 Enrollment ID: I20031219000352 |
| Provider Name | Jamie Lynn Rebando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265949176 PECOS PAC ID: 8921367772 Enrollment ID: I20180124000794 |
| Provider Name | Rayhan Hasan Hashmey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467617597 PECOS PAC ID: 6103259007 Enrollment ID: I20191206002196 |
| Provider Name | Linda Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255965752 PECOS PAC ID: 3577993104 Enrollment ID: I20200423000694 |
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