| Vizemd | |
|
1145 Kinwest Pkwy Ste 200 Irving TX 75063-3516 | |
| (214) 796-9545 | |
| Not Available |
| Full Name | Vizemd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1145 Kinwest Pkwy Ste 200, Irving, Texas |
| Authorized Official Name and Position | Harikrishna Raja (CEO) |
| Authorized Official Contact | 2147969545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vizemd 7679 Picton Dr Irving TX 75063-1258 Ph: (214) 796-9545 | Vizemd 1145 Kinwest Pkwy Ste 200 Irving TX 75063-3516 Ph: (214) 796-9545 |
| NPI Number | 1467275339 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 5496282717 |
|---|---|
| Medicare Enrollment ID | O20241227002593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467275339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Harikrishna Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013977925 PECOS PAC ID: 0840223459 Enrollment ID: I20050914000871 |
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