| Greater Houston Infectious Diseases Center Pa | |
|
19701 Kingwood Dr Ste 9 Kingwood TX 77339-3775 | |
| (281) 609-4011 | |
| Not Available |
| Full Name | Greater Houston Infectious Diseases Center Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 19701 Kingwood Dr Ste 9, Kingwood, Texas |
| Authorized Official Name and Position | Mohammad Omar Khan (OWNER) |
| Authorized Official Contact | 8325630977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Houston Infectious Diseases Center Pa 10924 Grant Rd Pmb# 412 Houston TX 77070-4445 Ph: (832) 563-0977 | Greater Houston Infectious Diseases Center Pa 19701 Kingwood Dr Ste 9 Kingwood TX 77339-3775 Ph: (281) 609-4011 |
| NPI Number | 1073729687 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 10/15/2025 |
| Medicare PECOS PAC ID | 7012946866 |
|---|---|
| Medicare Enrollment ID | O20050811000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073729687 | NPI | - | NPPES |
| 176200701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Mohammad O Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528168051 PECOS PAC ID: 7810926664 Enrollment ID: I20050811000594 |
| Provider Name | Kevin G Garnepudi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952621294 PECOS PAC ID: 9133363823 Enrollment ID: I20130919000326 |
| Provider Name | Liza J Jemison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073826442 PECOS PAC ID: 7214165562 Enrollment ID: I20140111000262 |
| Provider Name | Aira Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821631896 PECOS PAC ID: 6406289651 Enrollment ID: I20191203000457 |
| Provider Name | Hana Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427345776 PECOS PAC ID: 2062685100 Enrollment ID: I20200430001953 |
| Provider Name | Ashita Ganguly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326402876 PECOS PAC ID: 1759760358 Enrollment ID: I20220628000043 |
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