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General NPI Number Information
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NPI Number | 1588262711
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Entity Type | Organization
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Legal Business Name | MEDICUS INTERNAL MEDICINE & PRIMARY CARE PLLC
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 23960 KATY FWY STE 320
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City | KATY
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State | TX
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Zip | 77494-0887
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Country | US
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Telephone | 346-500-5342
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Fax | 346-500-5335
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Provider Business Mailing Address
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Address Line | 23960 KATY FWY STE 320
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City | KATY
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State | TX
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Zip | 77494-0887
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Country | US
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Telephone | 346-500-5342
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Fax | 346-500-5335
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Authorized Official
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Title or Position | ORGANIZER
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Name | DR. SARWAT MAKKANI
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Credential | DO
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Telephone | 832-372-3161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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