| Ajay Jayendra Pathak, MD | |
|
2833 W Eldorado Pkwy Ste 307, Little Elm, TX 75068-3540 | |
| (972) 292-0300 | |
| (972) 292-0301 |
| Full Name | Ajay Jayendra Pathak |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2833 W Eldorado Pkwy Ste 307, Little Elm, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831114156 | NPI | - | NPPES |
| 115547504 | Medicaid | TX | |
| 115547501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J6202 (Texas) | Primary |
| Entity Name | Ajay J Pathak MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225395015 PECOS PAC ID: 9436306230 Enrollment ID: O20120830000243 |
| Entity Name | Care Well TX PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407354780 PECOS PAC ID: 3375805641 Enrollment ID: O20180326002254 |
| Mailing Address | Practice Location Address |
|---|---|
| Ajay Jayendra Pathak, MD 1780 W Mcdermott Dr Ste 200, Allen, TX 75013-3363 Ph: (972) 954-1469 | Ajay Jayendra Pathak, MD 2833 W Eldorado Pkwy Ste 307, Little Elm, TX 75068-3540 Ph: (972) 292-0300 |
Dr. Jill Ellen Wolf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 E Eldorado Pkwy, Little Elm, TX 75068 Phone: 972-292-3330 Fax: 972-292-3330 |
Rangish Yuvaraj, Internal Medicine Medicare: Medicare Enrolled Practice Location: 27045 E University Dr Ste 2d, Little Elm, TX 76227 Phone: 469-461-6174 Fax: 972-483-9904 |
Taek Soo Shin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 Little Elm Pkwy Ste 2501, Little Elm, TX 75068 Phone: 972-972-4234 |
Dr. John Gerard Flores, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 E Eldorado Pkwy, Little Elm, TX 75068 Phone: 972-292-3330 Fax: 972-292-3332 |
Dr. Ramesh Chandran, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2721 Little Elm Pkwy, Suite 220, Little Elm, TX 75068 Phone: 972-464-1021 Fax: 214-872-3656 |