| Select Internal Medicine & Pediatrics | |
|
7619 Branford Pl Ste 210 Sugar Land TX 77479-3760 | |
| (832) 492-4467 | |
| Not Available |
| Full Name | Select Internal Medicine & Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 7619 Branford Pl Ste 210, Sugar Land, Texas |
| Authorized Official Name and Position | Co-may Dang Pasdar-shirazi (OWNER) |
| Authorized Official Contact | 2817979648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Internal Medicine & Pediatrics 5502 Corang View Ct Sugar Land TX 77479-4783 Ph: (281) 797-9648 | Select Internal Medicine & Pediatrics 7619 Branford Pl Ste 210 Sugar Land TX 77479-3760 Ph: (832) 492-4467 |
| NPI Number | 1598489361 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 04/07/2023 |
| Certification Date | 04/07/2023 |
| Medicare PECOS PAC ID | 0143693853 |
|---|---|
| Medicare Enrollment ID | O20230228001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598489361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Primary |
| Provider Name | Co May D. Pasdar Shirazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487947685 PECOS PAC ID: 8325269723 Enrollment ID: I20150928002388 |
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