| Sands Health Llc | |
|
4710 Bellaire Blvd Ste 189 Bellaire TX 77401-4505 | |
| (844) 224-1751 | |
| (855) 644-3687 |
| Full Name | Sands Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4710 Bellaire Blvd Ste 189, Bellaire, Texas |
| Authorized Official Name and Position | Reagan Shivitz (MANAGER) |
| Authorized Official Contact | 7138651365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sands Health Llc 1309 W 15th St Ste 350 Plano TX 75075-7244 Ph: () - | Sands Health Llc 4710 Bellaire Blvd Ste 189 Bellaire TX 77401-4505 Ph: (844) 224-1751 |
| NPI Number | 1609693316 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 0840710547 |
|---|---|
| Medicare Enrollment ID | O20250225002674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609693316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Shahbuddin Husain Mukardamwala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477717320 PECOS PAC ID: 3173758661 Enrollment ID: I20131111000308 |
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