| South Dallas Infectious Diseases Pllc | |
|
3125 Matlock Rd Ste 107 Arlington TX 76015-2905 | |
| (888) 212-4243 | |
| Not Available |
| Full Name | South Dallas Infectious Diseases Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3125 Matlock Rd Ste 107, Arlington, Texas |
| Authorized Official Name and Position | Ronak Jashvantray Patel (VICE PRESIDENT) |
| Authorized Official Contact | 8882124243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Dallas Infectious Diseases Pllc 2101 Shannon Oxmoor Rd # 82 Shannon AL 35142-2000 Ph: (888) 212-4243 | South Dallas Infectious Diseases Pllc 3125 Matlock Rd Ste 107 Arlington TX 76015-2905 Ph: (888) 212-4243 |
| NPI Number | 1609317262 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 06/25/2026 |
| Medicare PECOS PAC ID | 2668759689 |
|---|---|
| Medicare Enrollment ID | O20170501000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609317262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | P3055 (Texas) | Primary |
| Provider Name | Ronak J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225264690 PECOS PAC ID: 8820240120 Enrollment ID: I20121213000292 |
| Provider Name | Nebu T Alexander |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912024100 PECOS PAC ID: 2668525759 Enrollment ID: I20130411000573 |
| Provider Name | Ricardo Manuel Quezada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053502435 PECOS PAC ID: 0840323176 Enrollment ID: I20180216000765 |
| Provider Name | Abdul Basit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780951970 PECOS PAC ID: 9537457551 Enrollment ID: I20210301001137 |
| Provider Name | Mehboob Rehan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952899767 PECOS PAC ID: 6305173444 Enrollment ID: I20231017000979 |
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