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11765 West Ave # 199 San Antonio TX 78216-2559 | |
(210) 468-8255 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 11765 West Ave # 199, San Antonio, Texas |
Authorized Official Name and Position | Awais Sheikh (MD MANAGER PARTNER) |
Authorized Official Contact | 7325168313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 68 Downers Grove IL 60515-0068 Ph: () - | 11765 West Ave # 199 San Antonio TX 78216-2559 Ph: (210) 468-8255 |
NPI Number | 1063070571 |
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Provider Enumeration Date | 05/30/2019 |
Last Update Date | 10/18/2019 |
Medicare PECOS PAC ID | 1052642477 |
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Medicare Enrollment ID | O20191015003036 |
Identifier | Type | State | Issuer |
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1063070571 | NPI | - | NPPES |
Provider Name | Pankaj K Kapadia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740418979 PECOS PAC ID: 0749439958 Enrollment ID: I20140701001116 |
Provider Name | Awais A Sheikh |
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Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1104063205 PECOS PAC ID: 5799960787 Enrollment ID: I20140725001172 |
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