| Surainder K.ajmani M.d.p.a | |
|
12121 Richmond Ave Suite# 409 Houston TX 77082-2432 | |
| (281) 493-4922 | |
| (281) 493-9728 |
| Full Name | Surainder K.ajmani M.d.p.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 12121 Richmond Ave, Houston, Texas |
| Authorized Official Name and Position | Surainder K Ajmani (PRESIDENT) |
| Authorized Official Contact | 2814934922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surainder K.ajmani M.d.p.a 12121 Richmond Ave Suite# 409 Houston TX 77082-2432 Ph: (281) 493-4922 | Surainder K.ajmani M.d.p.a 12121 Richmond Ave Suite# 409 Houston TX 77082-2432 Ph: (281) 493-4922 |
| NPI Number | 1689758286 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 05/21/2008 |
| Medicare PECOS PAC ID | 9638152218 |
|---|---|
| Medicare Enrollment ID | O20040612000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689758286 | NPI | - | NPPES |
| 082984801 | Medicaid | TX | |
| C17979 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
| Provider Name | Surainder Kumar Ajmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821172354 PECOS PAC ID: 2365594298 Enrollment ID: I20100802000999 |
| Provider Name | Kim G Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285917575 PECOS PAC ID: 7214101419 Enrollment ID: I20111128000782 |
| Provider Name | Yu Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063838472 PECOS PAC ID: 6305061656 Enrollment ID: I20140701000467 |
| Provider Name | Brandi A Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295223113 PECOS PAC ID: 6103161617 Enrollment ID: I20190102001439 |
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