| Mousumi Chanda-kim Md Pllc | |
|
1905 Matthews Ln Austin TX 78745-6143 | |
| (512) 444-4001 | |
| (512) 445-6027 |
| Full Name | Mousumi Chanda-kim Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1905 Matthews Ln, Austin, Texas |
| Authorized Official Name and Position | Mousumi Chanda-kim (OWNER / PHYSICIAN) |
| Authorized Official Contact | 5126191793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mousumi Chanda-kim Md Pllc 2500 W William Cannon Dr Ste 303 Austin TX 78745-5289 Ph: (512) 444-4001 | Mousumi Chanda-kim Md Pllc 1905 Matthews Ln Austin TX 78745-6143 Ph: (512) 444-4001 |
| NPI Number | 1548854268 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 02/15/2022 |
| Medicare PECOS PAC ID | 7012323785 |
|---|---|
| Medicare Enrollment ID | O20210303002155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548854268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mousumi Chanda-kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982772901 PECOS PAC ID: 9436177102 Enrollment ID: I20051110000894 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
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