Urban Id Physician, Pllc | |
5435 N Garland Ave Ste 140 Garland TX 75040-2787 | |
(888) 212-4243 | |
Not Available |
Full Name | Urban Id Physician, Pllc |
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Speciality | Internal Medicine |
Location | 5435 N Garland Ave Ste 140, Garland, Texas |
Authorized Official Name and Position | Sohail Ahmed (PHYSICIAN) |
Authorized Official Contact | 8882124243 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Urban Id Physician, Pllc 5435 N Garland Ave Ste 140 Garland TX 75040-2787 Ph: () - | Urban Id Physician, Pllc 5435 N Garland Ave Ste 140 Garland TX 75040-2787 Ph: (888) 212-4243 |
NPI Number | 1750817326 |
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Provider Enumeration Date | 05/02/2017 |
Last Update Date | 05/02/2017 |
Medicare PECOS PAC ID | 9638449267 |
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Medicare Enrollment ID | O20170714000542 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750817326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Sohail Ahmed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104866045 PECOS PAC ID: 2769498047 Enrollment ID: I20161010002070 |
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