Provider Demographics
NPI:1588262711
Name:MEDICUS INTERNAL MEDICINE & PRIMARY CARE PLLC
Entity type:Organization
Organization Name:MEDICUS INTERNAL MEDICINE & PRIMARY CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARWAT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKKANI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:832-372-3161
Mailing Address - Street 1:23960 KATY FWY STE 320
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0887
Mailing Address - Country:US
Mailing Address - Phone:346-500-5342
Mailing Address - Fax:346-500-5335
Practice Address - Street 1:23960 KATY FWY STE 320
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0887
Practice Address - Country:US
Practice Address - Phone:346-500-5342
Practice Address - Fax:346-500-5335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty