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NPI Code Detail

MEDICARE: DOCTORS OF INTERNAL MEDICINE PLLC

MEDICARE: DOCTORS OF INTERNAL MEDICINE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20039EBOTHERTXBCBS

General Provider Information

NPI Number : 1194895474
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS OF INTERNAL MEDICINE PLLC
Provider Business Mailing Address
First Line : 5941 DALLAS PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-9001
Country : US
Telephone Number : 972-758-4455
Fax Number : 972-758-4433
Provider Business Practice Location Address
First Line : 5941 DALLAS PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-9001
Country : US
Telephone Number : 972-758-4455
Fax Number : 972-758-4433
Authorized Official
Title or Position : PRESIDENT
Name : LADAN BAKHTARI
Credential : M.D
Telephone Number : 972-758-4455
Provider Enumeration Date : 11/08/2006
Last Update Date : 02/25/2025

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Directions to “DOCTORS OF INTERNAL MEDICINE PLLC ” Practice Location

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