| Stream Health Care Pa | |
|
760 N Watters Rd Ste 190 Allen TX 75013-5212 | |
| (972) 908-3455 | |
| Not Available |
| Full Name | Stream Health Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 760 N Watters Rd Ste 190, Allen, Texas |
| Authorized Official Name and Position | Abrar Riaz (PHYSICIAN GROUP ADMINISTRATOR) |
| Authorized Official Contact | 3027501716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stream Health Care Pa 5503 N State Line Ave Texarkana TX 75503-5303 Ph: (903) 794-7874 | Stream Health Care Pa 760 N Watters Rd Ste 190 Allen TX 75013-5212 Ph: (972) 908-3455 |
| NPI Number | 1649720509 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 05/19/2022 |
| Medicare PECOS PAC ID | 8628358389 |
|---|---|
| Medicare Enrollment ID | O20161215000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649720509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vasu Nalajala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326096900 PECOS PAC ID: 8921100074 Enrollment ID: I20070221000178 |
| Provider Name | Valerie Jean Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942661434 PECOS PAC ID: 8123396736 Enrollment ID: I20170622000456 |
| Provider Name | Rabia Khan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629366539 PECOS PAC ID: 1456623834 Enrollment ID: I20170818002715 |
| Provider Name | Mukti Shailesh Parbhoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528592862 PECOS PAC ID: 4880964782 Enrollment ID: I20201221001691 |
| Provider Name | Elizabeth Ngoc Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053912576 PECOS PAC ID: 5294134854 Enrollment ID: I20210602000157 |
| Provider Name | Vanita S Bagdure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780975128 PECOS PAC ID: 5597985689 Enrollment ID: I20220801002084 |
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