| Prevcure, Pllc | |
|
11111 Research Blvd Ste Ll2 Austin TX 78759-5200 | |
| (512) 334-2665 | |
| (512) 334-2797 |
| Full Name | Prevcure, Pllc |
|---|---|
| Speciality | Radiology |
| Location | 11111 Research Blvd Ste Ll2, Austin, Texas |
| Authorized Official Name and Position | Ahmad Paiman Ghafoori (PRESIDENT/DOCTOR) |
| Authorized Official Contact | 5123342665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevcure, Pllc 11111 Research Blvd, Ste Ll2 Austin TX 78759-5200 Ph: (512) 334-2665 | Prevcure, Pllc 11111 Research Blvd Ste Ll2 Austin TX 78759-5200 Ph: (512) 334-2665 |
| NPI Number | 1386482529 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 11/04/2024 |
| Medicare PECOS PAC ID | 3779016688 |
|---|---|
| Medicare Enrollment ID | O20241031000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386482529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | (* (Not Available)) | Primary |
| Provider Name | Ahmad Paiman Ghafoori |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134392152 PECOS PAC ID: 0547391435 Enrollment ID: I20111213000849 |
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