Abhijeet Goyal (NPI# 1144272865, PAC ID# 0042248643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1144272865 |
PAC ID by PECOS | 0042248643 |
Professional Enrollment ID | I20100903000472 |
Full Name | Abhijeet Goyal |
Organization Legal Name | M REZA MIZANI MD PA |
Address |
19910 Interstate 35 S Suite 102 Lytle TX 78052-3547 |
Phone Number | 2106147900 |
Gender | M |
Credential | MD |
Graduation Year | 2000 |
Primary Specialty | NEPHROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 5294709689 |
Number of Group Practice Members | 20 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450388 | METHODIST HOSPITAL |
450058 | BAPTIST MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
19910 Interstate 35 S, Suite 102, Lytle, TX 78052-3547 | 2106147900 | M REZA MIZANI MD PA |
4511 Nw Loop 410, 104 South Texas Renal Care Group, San Antonio, TX 78229-5124 | 2106147900 | M REZA MIZANI MD PA |
Organization Legal Name | M REZA MIZANI MD PA |
Physicians | 21 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shirin Raina | Nephrology | M Reza Mizani Md Pa | 4511 Nw Loop 410, 104 South Texas Renal Care Group, San Antonio, TX 78229-5124 |
Saqib Z Syed | Nephrology | M Reza Mizani Md Pa | 12011 State Hwy 151, Suite 202, San Antonio, TX 78251-1230 |
Qasim Butt | Nephrology | M Reza Mizani Md Pa | 1595 S Main St, Suite 107, Boerne, TX 78006-3329 |
Steven G Rosenblatt | Nephrology | M Reza Mizani Md Pa | 205 22nd St, Hondo, TX 78861-2520 |
Carmelo Otero | Cardiac Surgery | M Reza Mizani Md Pa | 137 Palo Alto Rd, San Antonio, TX 78211-3736 |
Luis E Velez | Nephrology | M Reza Mizani Md Pa | 215 N San Saba, 301 S Tx Renal Care Grp, San Antonio, TX 78207-3164 |
Varshasb Broumand | Nephrology | M Reza Mizani Md Pa | 215 N San Saba, 301 S Tx Renal Care Grp, San Antonio, TX 78207-3164 |
Lauren E Tarbox | Nephrology | M Reza Mizani Md Pa | 215 N San Saba, 301 S Tx Renal Care Grp, San Antonio, TX 78207-3164 |
Alison Haley Wurster | Nurse Practitioner | M Reza Mizani Md Pa | 215 N San Saba, 301 S Tx Renal Care Grp, San Antonio, TX 78207-3164 |
Kendral Raymon Knight | Nephrology | M Reza Mizani Md Pa | 215 N San Saba, 301 S Tx Renal Care Grp, San Antonio, TX 78207-3164 |
Street Address |
19910 INTERSTATE 35 S SUITE 102 |
City | LYTLE |
State | TX |
Zip | 78052-3547 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pavan Devulapally | Nephrology | M Reza Mizani Md Pa | 19910 Interstate 35 S, Suite 102, Lytle, TX 78052-3547 |
Name | Specialty | Organization | Address |
---|---|---|---|
Glendon S Hack | Family Medicine | 19432 Davis St, Lytle, TX 78052 | |
Marvin Sanchez | Podiatry | 19432 Davis St, Lytle, TX 78052 | |
Melissa Defilippis | Psychiatry | Camino Real Community Mhmr Center | 19965 Fm 3175, Lytle, TX 78052-0725 |
Alvaro Moreno Ii | Psychiatry | Camino Real Community Mhmr Center | 19965 Fm 3175, Lytle, TX 78052-3481 |
Timothy A Bischoff | Psychiatry | Camino Real Community Mhmr Center | 19965 Fm 3175, Lytle, TX 78052-3481 |
Leslie R Lucas | Psychiatry | Camino Real Community Mhmr Center | 19965 Fm 3175, Lytle, TX 78052-3481 |
City | LYTLE |
Zip Code | 78052 |
Specialty | NEPHROLOGY |
City + Specialty | LYTLE + NEPHROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.