| Ali Jahan-tigh Md Pa | |
|
4310 Garth Rd Baytown TX 77521-3114 | |
| (281) 425-6965 | |
| (832) 556-2925 |
| Full Name | Ali Jahan-tigh Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4310 Garth Rd, Baytown, Texas |
| Authorized Official Name and Position | Geoffrey Ali Jahan-tigh (PRESIDENT) |
| Authorized Official Contact | 2814256965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Jahan-tigh Md Pa Po Box 1668 Baytown TX 77522-1668 Ph: (281) 425-6965 | Ali Jahan-tigh Md Pa 4310 Garth Rd Baytown TX 77521-3114 Ph: (281) 425-6965 |
| NPI Number | 1891944252 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 09/11/2020 |
| Medicare PECOS PAC ID | 3678758372 |
|---|---|
| Medicare Enrollment ID | O20110422000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891944252 | NPI | - | NPPES |
| 1164544227 | Other | NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J5356 (Texas) | Primary |
| Provider Name | Geoffrey A Jahan-tigh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164544227 PECOS PAC ID: 1355385154 Enrollment ID: I20050613001084 |
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