| Humza Shahid Azam, DO | |
|
1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 | |
| (512) 233-4606 | |
| Not Available |
| Full Name | Humza Shahid Azam |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 1010 Ranch Road 620 S Ste 107, Lakeway, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740576271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101019538 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Travis Emergency Physicians Pllc | 7315291929 | 9 |
| Hill Country Health Pllc | 1951716307 | 2 |
| Entity Name | Leading Edge Emergency Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003165259 PECOS PAC ID: 2466601588 Enrollment ID: O20121005000189 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Lake Travis Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851803688 PECOS PAC ID: 7315291929 Enrollment ID: O20181120000263 |
| Entity Name | Georgetown Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679085401 PECOS PAC ID: 9335483676 Enrollment ID: O20181128000055 |
| Entity Name | Brushy Creek Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235773151 PECOS PAC ID: 8729483854 Enrollment ID: O20210826003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Humza Shahid Azam, DO 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 665-5755 | Humza Shahid Azam, DO 1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 Ph: (512) 233-4606 |
Dr. Fatima S Hatia, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Ranch Road 620 S, Ste 107, Lakeway, TX 78734 Phone: 512-960-2165 Fax: 512-713-0730 | |
Dan Gozhansky, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Parkway, Lakeway, TX 78734 Phone: 301-346-7594 | |
Dr. Daniel Roe Macalasdair, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1518 Ranch Road 620 S Bldg H, Lakeway, TX 78734 Phone: 512-527-6247 | |
Sean Kevin Roden, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1411 Ranch Road 620 S, Lakeway, TX 78734 Phone: 512-668-9090 | |
Dr. Steven T. Elsbecker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5101 |