| Nishaal Antony Pa | |
|
1205 N Oregon St El Paso TX 79902 | |
| (915) 526-6968 | |
| Not Available |
| Full Name | Nishaal Antony Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1205 N Oregon St, El Paso, Texas |
| Authorized Official Name and Position | Nishaal Antony (PRESIDENT) |
| Authorized Official Contact | 9155334900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nishaal Antony Pa 1205 N Oregon St El Paso TX 79902 Ph: (915) 526-6968 | Nishaal Antony Pa 1205 N Oregon St El Paso TX 79902 Ph: (915) 526-6968 |
| NPI Number | 1093395139 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 09/18/2022 |
| Medicare PECOS PAC ID | 1254737497 |
|---|---|
| Medicare Enrollment ID | O20210913003635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093395139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Nishaal Antony |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063824050 PECOS PAC ID: 2163757071 Enrollment ID: I20190716000185 |
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