| Mani K Md Pa | |
|
2223 Rollingbrook Dr Ste 125 Baytown TX 77521-3656 | |
| (281) 420-3565 | |
| (281) 427-7808 |
| Full Name | Mani K Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2223 Rollingbrook Dr Ste 125, Baytown, Texas |
| Authorized Official Name and Position | Sepi Moghaddam (MANAGEMENT) |
| Authorized Official Contact | 2814203565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mani K Md Pa 2223 Rollingbrook Dr Ste 125 Baytown TX 77521-3656 Ph: (281) 420-3565 | Mani K Md Pa 2223 Rollingbrook Dr Ste 125 Baytown TX 77521-3656 Ph: (281) 420-3565 |
| NPI Number | 1720369473 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 07/22/2025 |
| Medicare PECOS PAC ID | 3375716582 |
|---|---|
| Medicare Enrollment ID | O20111103000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720369473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N7292 (Texas) | Primary |
| 207V00000X | Obstetrics & Gynecology | N7292 (Texas) | Secondary |
| Provider Name | Mani M Khoshnejad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275732976 PECOS PAC ID: 2062698764 Enrollment ID: I20110513000405 |
| Provider Name | Kevin Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871166884 PECOS PAC ID: 5698218741 Enrollment ID: I20240618002243 |
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