| Dr Imran Adam Memon, MD | |
|
1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | |
| (817) 877-5858 | |
| (817) 335-4418 |
| Full Name | Dr Imran Adam Memon |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 14 Years |
| Location | 1001 Pennsylvania Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952582157 | NPI | - | NPPES |
| 321658201 | Medicaid | TX | |
| P1199 | Other | TX | TEXAS LICENSE |
| 2007004327 | Other | MO | MISSOURI LICENSE NUMBER |
| N0195877 | Other | TX | DPS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Us Renal Care Tarrant Dialysis Fort Worth | Fort worth, TX | Dialysis facility |
| Us Renal Care Tarrant Dialysis Keller | Fort worth, TX | Dialysis facility |
| Medical City Fort Worth | Fort worth, TX | Hospital |
| Jps Health Network | Fort worth, TX | Hospital |
| Baylor Scott & White All Saints Medical Center Fort Worth | Fort worth, TX | Hospital |
| Medical City Alliance | Fort worth, TX | Hospital |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acclaim Physician Group Inc | 4587963582 | 467 |
| Medical Associates Of Texas, Pa | 5991021388 | 4 |
| Ppg Health Pa | 7113904657 | 31 |
| Entity Name | Ppg Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295736973 PECOS PAC ID: 7113904657 Enrollment ID: O20040702000316 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Medical Associates Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548663651 PECOS PAC ID: 5991021388 Enrollment ID: O20150302001617 |
| Entity Name | Acclaim Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
| Entity Name | Synergy Emergency Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215440508 PECOS PAC ID: 5496019390 Enrollment ID: O20180501000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Imran Adam Memon, MD 1000 W Cannon St, Fort Worth, TX 76104-3029 Ph: (817) 877-5858 | Dr Imran Adam Memon, MD 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 Ph: (817) 877-5858 |
Gayane Tumyan, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420 | |
Charles A Carlton, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Christian Nguyen, DO Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815 | |
Elie B Choufani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305 | |
Syed Hadi Jafri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815 |