| Zak Medical Group Pa | |
|
150 Pine Forest Drive Suite 204 Shenandoah TX 77384 | |
| (516) 547-3714 | |
| Not Available |
| Full Name | Zak Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 Pine Forest Drive, Shenandoah, Texas |
| Authorized Official Name and Position | Farhat Khan (VICE PRESIDENT) |
| Authorized Official Contact | 5165473714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zak Medical Group Pa Po Box 1048 Conroe TX 77305-1048 Ph: (516) 547-3714 | Zak Medical Group Pa 150 Pine Forest Drive Suite 204 Shenandoah TX 77384 Ph: (516) 547-3714 |
| NPI Number | 1427464833 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Medicare PECOS PAC ID | 3173847225 |
|---|---|
| Medicare Enrollment ID | O20150120000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427464833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P1340 (Texas) | Primary |
| Provider Name | Perwaiz Kahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043291388 PECOS PAC ID: 5395765309 Enrollment ID: I20130926000372 |
| Provider Name | Farhat Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104097484 PECOS PAC ID: 3173694569 Enrollment ID: I20140924001875 |
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