| Virtumed LLC | |
|
4001 W 15th St Ste 435 Plano TX 75093-5845 | |
| (708) 628-2326 | |
| (630) 566-8294 |
| Full Name | Virtumed LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4001 W 15th St Ste 435, Plano, Texas |
| Authorized Official Name and Position | Rizwan Khan (OWNER) |
| Authorized Official Contact | 7086282326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtumed LLC 455 N Cityfront Plaza Dr Ste 2515 Chicago IL 60611-5323 Ph: (708) 628-2326 | Virtumed LLC 4001 W 15th St Ste 435 Plano TX 75093-5845 Ph: (708) 628-2326 |
| NPI Number | 1235821943 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 03/10/2026 |
| Certification Date | 03/10/2026 |
| Medicare PECOS PAC ID | 1456714997 |
|---|---|
| Medicare Enrollment ID | O20230830003223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235821943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Kenneth K Adams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154388536 PECOS PAC ID: 3375506926 Enrollment ID: I20050330000106 |
| Provider Name | Darius Peikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275590077 PECOS PAC ID: 5890976500 Enrollment ID: I20110228000659 |
| Provider Name | Sandrine Ndetah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639843634 PECOS PAC ID: 6800267063 Enrollment ID: I20250423003519 |
| Provider Name | Bradley Rodgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154405926 PECOS PAC ID: 4880796390 Enrollment ID: I20260209002526 |
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