| Suresh J Antony M D P A | |
|
1205 N Oregon St El Paso TX 79902-4023 | |
| (915) 533-4900 | |
| (915) 533-4902 |
| Full Name | Suresh J Antony M D P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 1205 N Oregon St, El Paso, Texas |
| Authorized Official Name and Position | Suresh J Antony (PRESIDENT) |
| Authorized Official Contact | 9155251138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suresh J Antony M D P A 1205 N Oregon St El Paso TX 79902-4023 Ph: (915) 533-4900 | Suresh J Antony M D P A 1205 N Oregon St El Paso TX 79902-4023 Ph: (915) 533-4900 |
| NPI Number | 1902947724 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 09/03/2013 |
| Medicare PECOS PAC ID | 1951403054 |
|---|---|
| Medicare Enrollment ID | O20070220000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902947724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K0610 (Texas) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | K0610 (Texas) | Primary |
| Provider Name | Suresh J Antony |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831136548 PECOS PAC ID: 8820988017 Enrollment ID: I20040319000709 |
| Provider Name | Nishaal Antony |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063824050 PECOS PAC ID: 2163757071 Enrollment ID: I20190716000185 |
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