| Infectious Disease Associates Of Greater Houston Llc | |
|
22999 Highway 59 N Ste 419 Kingwood TX 77339-4502 | |
| (281) 361-4600 | |
| Not Available |
| Full Name | Infectious Disease Associates Of Greater Houston Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22999 Highway 59 N Ste 419, Kingwood, Texas |
| Authorized Official Name and Position | Derek Mercer (CREDENTIALING EXECUTIVE) |
| Authorized Official Contact | 7188417318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates Of Greater Houston Llc 26852 Iron Squire Dr Kingwood TX 77339-7702 Ph: (718) 841-7318 | Infectious Disease Associates Of Greater Houston Llc 22999 Highway 59 N Ste 419 Kingwood TX 77339-4502 Ph: (281) 361-4600 |
| NPI Number | 1871117838 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 07/29/2020 |
| Medicare PECOS PAC ID | 3971928458 |
|---|---|
| Medicare Enrollment ID | O20200730002502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871117838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Khulood Rizvi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619223104 PECOS PAC ID: 8527333194 Enrollment ID: I20171006002061 |
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