| Hardeep Rai, Md, Pa | |
|
1913 Walnut Plz Carrollton TX 75006-5809 | |
| (972) 418-2214 | |
| Not Available |
| Full Name | Hardeep Rai, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1913 Walnut Plz, Carrollton, Texas |
| Authorized Official Name and Position | Hardeep S Rai (PRESIDENT) |
| Authorized Official Contact | 9724182214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardeep Rai, Md, Pa 1913 Walnut Plz Carrollton TX 75006-5809 Ph: (972) 418-2214 | Hardeep Rai, Md, Pa 1913 Walnut Plz Carrollton TX 75006-5809 Ph: (972) 418-2214 |
| NPI Number | 1538336672 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Medicare PECOS PAC ID | 6800968637 |
|---|---|
| Medicare Enrollment ID | O20080710000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538336672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L6590 (Texas) | Primary |
| Provider Name | Hardeep S Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043324098 PECOS PAC ID: 0840262481 Enrollment ID: I20040812000718 |
| Provider Name | Zainabu Koroma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699053553 PECOS PAC ID: 4981797248 Enrollment ID: I20110921000840 |
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